Individual
MS. TAMMY MARIE LUNDBOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2714 NE 205TH AVE APT 228, FAIRVIEW, OR 97024-9649
(503) 914-9768
Mailing address
2714 NE 205TH AVE APT 228, FAIRVEW, OR 97024
(503) 914-9768
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
01/31/2007
Last updated
09/11/2025
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