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Tara Wulff Bolka, FNP-C
Family Nurse Practitioner in La Grande, Oregon
NPI 1558894329

Tara Wulff Bolka is a Family Nurse Practitioner based in La Grande, OR and is specialized in Family. Tara Wulff Bolka practices in La Grande, OR and has the professional credentials of FNP-C. The NPI Number for Tara Wulff Bolka is 1558894329 and holds a License No. 1-089967 (Oregon).

The current practice location address for Tara Wulff Bolka is 506 4Th St, La Grande, OR and can be reached out via phone at 541-663-3138 and via fax at 541-975-5120.

Location: 506 4Th St, La Grande, OR, 97850-7290
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558894329
Provider Name
Tara Wulff Bolka
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
506 4Th St, La Grande, OR, 97850-7290
Phone Number
541-663-3138
Fax Number
541-975-5120
Provider Enumeration Date
04/07/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500773203 05 OR
institution
Provider Business Practice Location Address Details
Address
506 4Th St
City
La Grande
State
Oregon
Zip
97850-1906
Phone Number
541-663-3138
Fax Number
541-975-5120
person
Provider Business Mailing Address Details
Address
506 4Th St
City
La Grande
State
Oregon
Zip
97850-1906
Phone Number
541-663-3138
Fax Number
541-975-5120
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1-089967 (Alabama)
Definition
Definition to come...
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