MS. TAMARA MARIE STAMBAUGH FNP NPI 1780750547

NPI Information

NPI: 1780750547
Provider Name: MS. TAMARA MARIE STAMBAUGH, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2685 4TH ST NE
SALEM, OR
ZIP 97301
Phone: (503) 540-0288
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MS. Tamara Marie Stambaugh, FNP is a family nurse practitioner in Salem, OR. MS. Tamara Marie Stambaugh, FNP NPI is 1780750547. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2685 4TH ST NE
SALEM, OR
ZIP 97301-548
Phone: (503) 540-0288

The enumeration date for this NPI number is 11/24/2006 and was last updated on 2/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	200450056NP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1780750547	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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