Individual
TAMMRA CHATWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2995 RYAN DR SE STE 200, SALEM, OR 97301-5157
(503) 371-7701
Mailing address
2995 RYAN DR SE STE 200, SALEM, OR 97301-5157
(503) 371-7701
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
11/11/2021
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