Individual
MRS. TAMI JO PELLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 NW BAILEY AVE, PENDLETON, OR 97801-1526
(541) 276-5080
Mailing address
611 NW BAILEY AVE, PENDLETON, OR 97801-1526
(541) 276-5080
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
THW000003809
OREGON OFFICE OF EQUITY & INCLUSION
OR
Enumeration date
08/28/2019
Last updated
08/28/2019
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