Individual
TAMA FERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
151 W 7TH AVE, EUGENE, OR 97401-1100
(541) 682-4041
Mailing address
151 W 7TH AVE, EUGENE, OR 97401-1100
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
200640865
OR
Other
Enumeration date
09/02/2010
Last updated
03/29/2012
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