Individual
TAMARA GEDROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1150 N ROOSEVELT DR APT 104, SEASIDE, OR 97138-7053
(503) 717-7150
Mailing address
4400 NE HALSEY ST STE 200, PORTLAND, OR 97213-1545
(503) 215-6556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201042536RN
OR
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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