Marriott, Tami Sue

Marriott, Tami Sue is an individual health care provider with primary practice located at 2700 Nw Stewart Pkwy , Roseburg OR 97471-1281. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Marriott, Tami Sue can be contacted via phone (541) 677-4333.

Contact Information

Primary practice address
2700 Nw Stewart Pkwy Roseburg OR 97471-1281
Phone: (541) 677-4333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD27684 Oregon

Profile Details

NPI number 1134182843
LBN Legal business name Marriott, Tami Sue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Feb 25th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134182843 NPPES
Ohio MEDICAID 311397603026
Ohio MEDICAID 2105886
Ohio MEDICAID 214021
Ohio Other 000000038219

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