Individual
MS. TAMARA OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1924 NE COUCH ST, PORTLAND, OR 97232-3023
(503) 788-7726
(503) 788-7729
Mailing address
PO BOX 820134, PORTLAND, OR 97282-1134
(503) 788-7726
(503) 788-7729
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000565
—
OR
Enumeration date
10/11/2006
Last updated
07/08/2007
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