Individual
TARA N WESTBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3521 NW SAMARITAN DR STE 101, CORVALLIS, OR 97330-4744
(541) 768-6119
Mailing address
3521 NW SAMARITAN DR STE 101, CORVALLIS, OR 97330-4744
(541) 768-6119
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA207956
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2020
Last updated
03/10/2022
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