Individual
TARA SEYMOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2065 NE WILLIAMSON CT, BEND, OR 97701-3867
(541) 133-0555
Mailing address
PO BOX 1948, 266 W SISTERS VIEW, SISTERS, OR 97759-1948
(541) 420-2400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6276
OR
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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