Provider Demographics
NPI:1598183303
Name:WORREST, TARIN CHASE (MD)
Entity type:Individual
Prefix:
First Name:TARIN
Middle Name:CHASE
Last Name:WORREST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TARIN
Other - Middle Name:CHASE
Other - Last Name:RICHARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2831 FORT MISSOULA RD STE 102
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59804-7401
Mailing Address - Country:US
Mailing Address - Phone:406-728-0285
Mailing Address - Fax:
Practice Address - Street 1:2831 FORT MISSOULA RD STE 102
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59804-7401
Practice Address - Country:US
Practice Address - Phone:406-728-0285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-31
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMED-PHYS-LIC-100134208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery