MEDICARE: TAMI BETH LAMB NP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	000000	NY
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	201508190NP-PP	OR

Other Identifiers

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

General Provider Information

NPI Number	:	1396090809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMI BETH LAMB NP

Provider Business Mailing Address
First Line	:	777 STANTON BLVD
Second Line	:
City	:	ONTARIO
State	:	OR
Zip	:	97914-8335
Country	:	US
Telephone Number	:	541-881-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 STANTON BLVD
Second Line	:
City	:	ONTARIO
State	:	OR
Zip	:	97914-8335
Country	:	US
Telephone Number	:	541-881-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2012
Last Update Date	:	04/27/2023

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Directions to “ TAMI BETH LAMB NP” Practice Location

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