Individual
CAPRESHE WANNTTE TARRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 SE MADISON ST, PORTLAND, OR 97214-4527
(971) 373-8170
Mailing address
80 SE MADISON ST, PORTLAND, OR 97214-4527
(971) 373-8170
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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