Individual provider · Type 1 NPI

Tammy Ann Khazali

Mental Health Counselor · Fairview, OR

NPI number 1831808997 Active

Practice location

1945 NE 205th Ave
Fairview, OR 97024-9622

Call (503) 661-8050 Map

Fax (503) 492-4651

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1831808997

Tammy Ann Khazali's National Provider Identifier is 1831808997, issued on Nov 17, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairview, OR. The record was last updated on Nov 17, 2022.