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Tammy Lee Dillard
Peer Specialist in Coos Bay, Oregon
NPI 1780256966

Tammy Lee Dillard is a Peer Specialist based in North Bend, OR. Tammy Lee Dillard practices in Coos Bay, OR. The NPI Number for Tammy Lee Dillard is 1780256966 and holds a License No. 19-CRM-173 (Oregon).

The current practice location address for Tammy Lee Dillard is 281 Laclair St, Coos Bay, OR and can be reached out via phone at 541-808-8413 and via fax at 541-888-8726.

Location: 281 Laclair St, Coos Bay, OR, 97459-2740
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780256966
Provider Name
Tammy Lee Dillard
Credential
Provider Entity Type
Individual
Gender
Female
Address
281 Laclair St, Coos Bay, OR, 97459-2740
Phone Number
541-808-8413
Fax Number
541-888-8726
Provider Enumeration Date
07/15/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BE26564A 05 OR
institution
Provider Business Practice Location Address Details
Address
281 Laclair St
City
Coos Bay
State
Oregon
Zip
97420-2988
Phone Number
541-808-8413
Fax Number
541-888-8726
person
Provider Business Mailing Address Details
Address
281 Laclair St
City
Coos Bay
State
Oregon
Zip
97420-2988
Phone Number
541-808-8413
Fax Number
541-888-8726
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
19-CRM-173 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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