Individual
KAREN K. TAMMINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
336 NE NORTON AVE, SUITE 4, BEND, OR 97701-4350
(541) 388-8231
Mailing address
22570 RICKARD RD, BEND, OR 97702-9231
(541) 388-8231
(541) 385-7683
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1760
OR
Other
Enumeration date
01/06/2007
Last updated
01/27/2012
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