Individual
TARRA SIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 440-3571
(541) 957-3704
Mailing address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 440-3571
(541) 957-3704
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
201390453RN
OR
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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