Individual
TAMARA AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5197 NW LOWER RIVER RD, VANCOUVER, WA 98660-1013
(360) 397-8246
Mailing address
513 E 16TH ST # A07, VANCOUVER, WA 98663-3447
(360) 369-9305
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
00133550
WA
Other
Enumeration date
12/31/2021
Last updated
03/28/2024
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