Individual
MRS. TAMARA S MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5050 SKYLINE VILLAGE LOOP S, SALEM, OR 97306-9490
(503) 391-1110
Mailing address
2992 AUBREY LN NE, KEIZER, OR 97303-9762
(503) 851-3161
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201809056NP-PP
OR
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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