Individual
TABITHA WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1813 W HARVARD AVE, SUITE 241, ROSEBURG, OR 97471-2752
(541) 440-6390
Mailing address
1813 W HARVARD AVE, SUITE 241, ROSEBURG, OR 97471-2752
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20160204NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20160204NP-PP
STATE LICENSE
OR
Enumeration date
11/18/2016
Last updated
11/18/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us