Russell, Tamara Lynne
Russell, Tamara Lynne is an individual health care provider with primary practice located at 317 E Johnson Ave , Chelan WA 98816-2920. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russell, Tamara Lynne can be contacted via phone (509) 682-6000.Contact Information
Primary practice address
317 E Johnson Ave
Chelan WA 98816-2920
Phone: (509) 682-6000
Fax: (509) 682-6296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY00003727 | Washington |
Profile Details
| NPI number | 1699722975 |
|---|---|
| LBN Legal business name | Russell, Tamara Lynne |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Feb 4th, 2021 - 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 | 1699722975 | NPPES |
| Washington | MEDICAID | 8483430 |
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