Individual
TABATHA M DRISKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 SW FRAZER AVE STE 282, PENDLETON, OR 97801-0048
(541) 278-6330
(541) 278-5419
Mailing address
17 SW FRAZER AVE STE 282, PENDLETON, OR 97801-0048
(541) 278-6330
(541) 278-5419
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251S00000X
—
OR
Enumeration date
03/19/2018
Last updated
03/19/2018
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