Individual
TARA ROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 SE 172ND AVE, VANCOUVER, WA 98684-9542
(360) 882-2778
Mailing address
2808 P ST, VANCOUVER, WA 98663-3136
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
61027436
WA
Other
Enumeration date
01/05/2020
Last updated
09/20/2023
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