Individual
MRS. TAMARA JEAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC, CNM
Contact information
Practice address
890 OAK ST SE STE 5050, SALEM, OR 97301-3905
(503) 814-4480
(503) 814-4482
Mailing address
PO BOX 491, MCMINNVILLE, OR 97128-0491
(503) 504-4635
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
201050013NP
OR
367A00000X
Advanced Practice Midwife
Primary
201050012NP
OR
Other
Enumeration date
01/27/2010
Last updated
07/21/2022
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