Individual
TAMARA M WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
425 N MAIN ST, PRINEVILLE, OR 97754-1855
(541) 416-7476
(541) 416-7478
Mailing address
805 SW INDUSTRIAL WAY, SUITE 3, BEND, OR 97702-1093
(541) 585-2529
(541) 585-2536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2935
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022551
—
OR
Enumeration date
01/22/2007
Last updated
06/01/2020
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