Tammy Marie Brister QMHA

NPI 1083818603 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1083818603
Gender Female
Enumeration Date 06/14/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1297 RING LN NE
KEIZER OR, 97303-4834, US
Phone (503) 361-2702
Fax
Business Location
1297 RING LN NE
KEIZER OR, 97303-4834, US
Phone (503) 361-2702
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Mrs. Tammy Marie Brister QMHA NPI is 1083818603, taxonomy code is 171M00000X Tammy Marie Brister QMHA physically located at 1297 Ring Ln Ne, Keizer OR, 97303-4834. NPI Number Tammy Marie Brister QMHA has the Individual type.

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1083818603 NPI number is provided on an as is basis without warranty of any kind. 1083818603 is maintained by the National Plan & Provider Enumeration System. The contents of Tammy Marie Brister QMHA are for informational purposes only.