TABITHA WALLER

ROSEBURG, OR
NPI1619410982
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  20160204NP-PP)
Enumeration Date2016-11-18
Last Update Date2016-11-18
Business Address
-- TABITHA WALLER FNP
1813 W HARVARD AVE SUITE 241
ROSEBURG, OR 97471-2752
Phone number: 541-440-6390
Mailing Address
-- TABITHA WALLER FNP
1813 W HARVARD AVE SUITE 241
ROSEBURG, OR 97471-2752
Phone number:
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