| Full Name | Jones, Tara |
|---|---|
| Speciality | Clinic/center |
| Location | 3606 Main St, Vancouver, Washington |
| Authorized Official Name and Position | Tara Jones (ATTENDING PHYSICIAN) |
| Authorized Official Contact | 6077798698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jones, Tara 3606 Main St Ste 105 Vancouver WA 98663-2235 Ph: (607) 779-8698 | Jones, Tara 3606 Main St Vancouver WA 98663-2257 Ph: (607) 779-8698 |
| NPI Number | 1225507890 |
|---|---|
| Provider Enumeration Date | 11/13/2018 |
| Last Update Date | 02/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225507890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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