Individual
TAMARA SIMONSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
821 SAGINAW ST S, SALEM, OR 97302-4121
(503) 589-4046
Mailing address
1306 MARKET ST NE, SALEM, OR 97301-1362
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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