Individual
TAMARA LYNN HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
503 AIRPORT RD, MEDFORD, OR 97504-4159
(541) 200-2900
(541) 200-2949
Mailing address
3203 WILLAMETTE ST, EUGENE, OR 97405-3348
(541) 726-9912
(541) 744-4443
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA166331
OR
363AM0700X
Medical Physician Assistant
PA166331
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500669689
—
OR
Enumeration date
03/25/2014
Last updated
12/16/2025
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