Individual
LAURA CHRISTINE TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
583 CLARMAR DR NE, SALEM, OR 97301-4826
(503) 383-1497
Mailing address
583 CLARMAR DR NE, SALEM, OR 97301-4826
(503) 383-1497
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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