Individual
TARA LEE REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3325 POCAHONTAS RD, BAKER CITY, OR 97814
(541) 524-8000
(541) 524-7955
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642
(541) 524-8000
(541) 524-7955
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA197542
OR
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/05/2018
Last updated
03/06/2020
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