Individual
TAMI KANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.E.
Contact information
Practice address
3575 DONALD ST STE 630, EUGENE, OR 97405-4775
(541) 514-4857
Mailing address
3575 DONALD ST STE 630, EUGENE, OR 97405-4775
(541) 514-4857
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BAP-E-10154011
OR
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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