Individual
MRS. TAMARA SUSAN HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2625 KOOS BAY BLVD, COOS BAY, OR 97420-4907
(541) 267-2161
Mailing address
32842 QUAILHAVEN RD, GOLD BEACH, OR 97444-9200
(541) 698-8123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12426
OR
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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