Powell, Tamara
Powell, Tamara is an individual health care provider with primary practice located at 1690 Ne Lynda Ln , Grants Pass OR 97526-3599. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Powell, Tamara can be contacted via phone (541) 476-3000.Contact Information
Primary practice address
1690 Ne Lynda Ln
Grants Pass OR 97526-3599
Phone: (541) 476-3000
Fax: (541) 479-5101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD21458 | Oregon |
Profile Details
| NPI number | 1073510228 |
|---|---|
| LBN Legal business name | Powell, Tamara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Apr 5th, 2020 - about 5 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 | 1073510228 | NPPES |
| Oregon | MEDICAID | 130020 |
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