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NPI Code Detail

MEDICARE: DR. TAMARA K BARSTOW M.D.

MEDICARE: DR. TAMARA K BARSTOW M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMD18784OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184696924
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAMARA K BARSTOW M.D.
Provider Business Mailing Address
First Line : PO BOX 24410
Second Line :
City : EUGENE
State : OR
Zip : 97402-0451
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4010 AERIAL WAY
Second Line :
City : EUGENE
State : OR
Zip : 97402-9757
Country : US
Telephone Number : 541-242-8500
Fax Number : 541-242-8502
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2006
Last Update Date : 01/11/2013

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