Provider Demographics
NPI:1326864257
Name:KARR, TAMMERA JEAN (BCHN, CNW, CDSP)
Entity type:Individual
Prefix:DR
First Name:TAMMERA
Middle Name:JEAN
Last Name:KARR
Suffix:
Gender:F
Credentials:BCHN, CNW, CDSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1665
Mailing Address - Street 2:
Mailing Address - City:LA PINE
Mailing Address - State:OR
Mailing Address - Zip Code:97739-1665
Mailing Address - Country:US
Mailing Address - Phone:541-430-1078
Mailing Address - Fax:
Practice Address - Street 1:16206 PINE DROP LN
Practice Address - Street 2:
Practice Address - City:LA PINE
Practice Address - State:OR
Practice Address - Zip Code:97739-9896
Practice Address - Country:US
Practice Address - Phone:541-430-1078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Single Specialty