Individual
MS. TAMARA JANE MUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3325 N INTERSTATE AVE, KAISER PERMANENTE PAIN MANAGEMENT CLINIC, PORTLAND, OR 97227-1020
(503) 813-2000
Mailing address
3325 N INTERSTATE AVE, KAISER PERMANENTE PAIN MANAGEMENT CLINIC, PORTLAND, OR 97227-1020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4070
OR
225100000X
Physical Therapist
PT00008265
WA
Other
Enumeration date
10/11/2006
Last updated
07/15/2007
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