Individual
MRS. TAMMY MARIE BRISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
1297 RING LN NE, KEIZER, OR 97303-4834
(503) 361-2702
Mailing address
1297 RING LN NE, KEIZER, OR 97303-4834
(503) 361-2702
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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