Individual
TAMARA MONIC SIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1584 NE 8TH ST STE 200, GRESHAM, OR 97030-5746
(971) 421-8696
(503) 328-8094
Mailing address
PO BOX 15623, TAMPA, FL 33684-5623
(858) 652-1211
(503) 328-8094
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R9023
OR
Other
Enumeration date
05/07/2014
Last updated
04/12/2024
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