Individual
TAMARA R LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97470-1281
(541) 677-4882
Mailing address
2855 RICE CREEK RD, WINSTON, OR 97496-8534
(541) 679-4499
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269743
—
OR
Enumeration date
07/12/2006
Last updated
07/08/2007
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