Cottongim, Tamara

Cottongim, Tamara is an individual health care provider with primary practice located at 3617 S Pacific Hwy , Medford OR 97501-8957. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Cottongim, Tamara can be contacted via phone (541) 512-3182.

Contact Information

Primary practice address
3617 S Pacific Hwy Medford OR 97501-8957
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 096000435RN Oregon

Profile Details

NPI number 1215281209
LBN Legal business name Cottongim, Tamara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2012
Last updated Oct 30th, 2012 - about 12 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.

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