Individual
TAMMY EILEEN SURBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 MURPHY RD, MEDFORD, OR 97504-8425
(541) 772-2763
(541) 734-3164
Mailing address
777 MURPHY RD, MEDFORD, OR 97504-8425
(541) 772-2763
(541) 734-3164
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
247000000X
Health Information Technician
—
—
Other
Enumeration date
02/15/2019
Last updated
03/23/2023
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