Individual
EDWARD M TARBET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
(541) 317-4588
Mailing address
PO BOX 6048, BEND, OR 97708-6048
(541) 382-2811
(541) 317-4588
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD14473
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00887745
MEDICARE RAILROAD
OR
05
—
053793
—
OR
01
—
11134767
CAQH ID
OR
Enumeration date
06/30/2006
Last updated
09/26/2014
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