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Individual

TARA LYNN NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
422 N MAIN ST, CONDON, OR 97823-7651
(541) 384-2666
Mailing address
422 N MAIN ST, CONDON, OR 97823-7651
(541) 384-2666

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
10/22/2025
Last updated
10/22/2025
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