Individual
MRS. TAMARA MICHELLE THOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2661 BEL RED RD, SUITE 207, BELLEVUE, WA 98008-2200
(425) 313-8814
Mailing address
27232 SE 13TH PL, SAMMAMISH, WA 98075-5961
(425) 313-8814
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00022712
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09299
FIRST CHOICE HEALTH
WA
Enumeration date
10/29/2006
Last updated
07/08/2007
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