Healthcare Provider Details

I. General information

NPI: 1801250014
Provider Name (Legal Business Name): TAMARA MEYERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TAMI MEYERS PROF. COUNSELOR ASS.

II. Dates (important events)

Enumeration Date: 04/13/2016
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 COURT ST NE
SALEM OR
97301-3443
US

IV. Provider business mailing address

280 COURT ST NE
SALEM OR
97301-3443
US

V. Phone/Fax

Practice location:
  • Phone: 541-974-4264
  • Fax:
Mailing address:
  • Phone: 503-550-1149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: