NPI 1144000902

Tammy Young, CRMPSS

Practitioner Peer Specialist Tigard, OR

Practice location

Address: 12540 SW Main St STE 202, Tigard, OR 97223-6198
Phone: (458) 262-8374
Fax: (503) 597-7000

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 23-CRM-1843 (OR)

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Registry record

NPI: 1144000902
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Sep 2023
Record last updated: 29 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.