Individual
OLIVER TATOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3030 NW ELWOOD LN, BEND, OR 97703-7200
(541) 355-6922
Mailing address
520 NW WALL ST, BEND, OR 97703-2608
(541) 355-1000
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
201904947RN
OR
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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