# TAMARA ELLEN MERRITT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1821022492
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OP00002089 | WA | — |
| 208D00000X | General Practice Physician | OP00002089 | WA | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 06/02/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 316507 | DEPARTMENT OF LABOR AND INDUSTRIES | WA |
| 01 | — | 452251 | DEPARTMENT OF LABOR AND INDUSTRIES | WA |
| 05 | — | 8464240 | — | WA |