Individual
TAINA DEL AFROUZ WOODS TAVALLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
89 N POLK ST APT 103, EUGENE, OR 97402-4168
(541) 503-8155
Mailing address
89 N POLK ST APT 103, EUGENE, OR 97402-4168
(541) 503-8155
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
113796
OR
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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