Individual provider · Type 1 NPI

Tamara Cottongim

Licensed Practical Nurse · Medford, OR

NPI number 1215281209 Active

Practice location

3617 S Pacific Hwy
Medford, OR 97501-8957

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X096000435RN (OR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1215281209

Tamara Cottongim's National Provider Identifier is 1215281209, issued on Oct 30, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Medford, OR. The record was last updated on Oct 30, 2012.