Individual
MS. TAMARA MARIE STAMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2685 4TH ST NE, SALEM, OR 97301-6548
(503) 540-0288
Mailing address
2685 4TH ST NE, SALEM, OR 97301-6548
(503) 540-0288
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200450056NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780750547
—
WA
Enumeration date
11/24/2006
Last updated
02/23/2024
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