Healthcare Provider Details

I. General information

NPI: 1235532847
Provider Name (Legal Business Name): TAMMY CHAMBERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2014
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 OAKWAY CTR
EUGENE OR
97401-5618
US

IV. Provider business mailing address

220 OAKWAY CTR
EUGENE OR
97401-5618
US

V. Phone/Fax

Practice location:
  • Phone: 541-334-5000
  • Fax: 541-344-5266
Mailing address:
  • Phone: 541-334-5000
  • Fax: 541-344-5266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number20665
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: