Individual
DR. TAMARA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1690 NE LYNDA LN, GRANTS PASS, OR 97526-3599
(541) 476-3000
(541) 479-5101
Mailing address
1690 NE LYNDA LN, GRANTS PASS, OR 97526-3599
(541) 476-3000
(541) 479-5101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD21458
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130020
—
OR
Enumeration date
07/01/2005
Last updated
04/05/2020
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