Individual
TAMMY ANNE TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14625 SW ALLEN BLVD, BEAVERTON, OR 97007-3697
(503) 643-2724
Mailing address
1018 NE ORENCO STATION PKWY APT 324, HILLSBORO, OR 97124-7144
(757) 343-7403
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0006259
OR
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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