Individual
TAMI R EISAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4242 COMMERCE ST, SUITE A, EUGENE, OR 97402-5412
(541) 895-5913
(541) 895-5941
Mailing address
11481 SW HALL BLVD, SUITE 201, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 6261
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500624548
—
OR
Enumeration date
03/07/2007
Last updated
05/02/2011
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