Rich, Tara Mary
Rich, Tara Mary is an individual health care provider with primary practice located at 2274 Sw 2Nd St Ste D , Mcminnville OR 97128-5597. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Rich, Tara Mary can be contacted via phone (503) 263-8903.Contact Information
Primary practice address
2274 Sw 2Nd St Ste D
Mcminnville OR 97128-5597
Phone: (503) 263-8903
Fax: (503) 662-8632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 3421 | Oregon |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3421 | Oregon |
Profile Details
| NPI number | 1699974964 |
|---|---|
| LBN Legal business name | Rich, Tara Mary |
| Credentials | MSPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2007 |
| Last updated | Feb 22nd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699974964 | NPPES |
| Oregon | MEDICAID | 006488 |
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