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NPI Code Detail

MEDICARE: TONYA LASHANE ANN GIDCUMB

MEDICARE:   TONYA LASHANE ANN GIDCUMB
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
1171M00000XCase Manager/Care CoordinatorOR

General Provider Information

NPI Number : 1134000755
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONYA LASHANE ANN GIDCUMB
Provider Business Mailing Address
First Line : 2210 N ELDORADO AVE
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-6418
Country : US
Telephone Number : 541-884-1020
Fax Number :
Provider Business Practice Location Address
First Line : 2210 N ELDORADO AVE
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-6418
Country : US
Telephone Number : 541-884-1020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2025
Last Update Date : 12/31/2025

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Directions to “ TONYA LASHANE ANN GIDCUMB ” Practice Location

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