Individual
TAMERA VASILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
627 N EVANS, MCMINNVILLE, OR 97128
(503) 434-7523
Mailing address
1558 E THIRD ST APT #1, NEWBERG, OR 97132
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1346320
OR
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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