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NPI Code Detail

MEDICARE: TARIN LYNNE BICKFORD

MEDICARE:   TARIN LYNNE BICKFORD
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
11041C0700XClinical Social Worker008088IA

General Provider Information

NPI Number : 1902361132
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARIN LYNNE BICKFORD
Provider Business Mailing Address
First Line : 601 E QUAIL DR
Second Line :
City : NEWBERG
State : OR
Zip : 97132-9152
Country : US
Telephone Number : 971-267-9232
Fax Number :
Provider Business Practice Location Address
First Line : 117 NW 8TH ST
Second Line :
City : MCMINNVILLE
State : OR
Zip : 97128-5560
Country : US
Telephone Number : 971-267-9232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2019
Last Update Date : 09/14/2022

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Directions to “ TARIN LYNNE BICKFORD ” Practice Location

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