Individual
TATYANA NICOLE REMILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 MAIN ST STE 200B, KLAMATH FALLS, OR 97601-6066
(541) 887-0751
Mailing address
905 MAIN ST STE 200B, KLAMATH FALLS, OR 97601-6066
(541) 887-0751
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
112540
OR
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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