Individual
TARA L HEBERT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1235 OVERLOOK DR, LAKE OSWEGO, OR 97034-6945
(503) 534-2407
Mailing address
22280 NE PALISADE PL, FAIRVIEW, OR 97024-7770
(503) 922-2876
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
OR
Other
Enumeration date
04/25/2006
Last updated
07/08/2007
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