Organization
TAYAS YAWKS
Active
Other names
Tayas Yawks, Klamath Full Gospel Church
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY MAE ANDERSON PSS (CO-DIRECTOR)
(541) 891-0194
Entity
Organization
Contact information
Practice address
3206 ONYX AVE, KLAMATH FALLS, OR 97603-7279
(541) 891-0194
Mailing address
3206 ONYX AVE, KLAMATH FALLS, OR 97603-7279
(541) 891-0194
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
02/13/2024
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