Individual
TAMMRA TRUBENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1955 SCENIC AVE, CENTRAL POINT, OR 97502-1652
(541) 494-6417
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 690-3555
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
200141469RN
OR
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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