Individual
TAMARA BISSESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6443 SW BEAVERTON HILLSDALE HWY FL 3, PORTLAND, OR 97221-1164
(503) 542-8002
Mailing address
12750 SW GALLOWAY CT, BEAVERTON, OR 97008-8132
(773) 431-5958
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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