Individual
TAMRA KAY ROLOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
901 LAKEVIEW DRIVE, ILWACO, WA 98624
(509) 220-9915
Mailing address
PO BOX 1061, LONG BEACH, WA 98631-1061
(509) 220-9915
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW00000283
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279358
—
OR
05
—
7122286
—
WA
Enumeration date
02/26/2007
Last updated
04/21/2009
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