Individual
TANIA CAROLA WILDBILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
73265 CONFEDERATED WAY, PENDLETON, OR 97801-9099
(541) 966-9830
(541) 278-7572
Mailing address
73265 CONFEDERATED WAY, PENDLETON, OR 97801-9099
(541) 966-9830
(541) 278-7572
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171037
—
OR
Enumeration date
09/29/2014
Last updated
09/29/2014
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