Individual
DOMENIC ALFONSO TAMAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3515 KINSROW AVE APT 406, EUGENE, OR 97401-8019
(541) 726-8198
Mailing address
5542 PRANZ PL, EUGENE, OR 97402-1568
(541) 513-5489
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
500695639
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500695639
—
OR
05
—
500705909
—
OR
Enumeration date
07/07/2016
Last updated
07/07/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us