TIARA F PACKER

CORVALLIS, OR
NPI1447313010
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: OR  PA130018)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence: NH  0614)
Enumeration Date2006-12-18
Last Update Date2010-09-24
Business Address
-- TIARA F PACKER PA-C
3620 NW SAMARITAN DRIVE SUITE 202
CORVALLIS, OR 97330
Phone number: 541-768-4810
Mailing Address
-- TIARA F PACKER PA-C
3620 NW SAMARITAN DRIVE SUITE 202
CORVALLIS, OR 97330
Phone number: 541-768-4810