Premiere Adult Wellness LLC

NPI #1174408298 in Salem, Oregon

Provider Information

NPI Number
1174408298
Entity Type
Organization
Organization Name
Premiere Adult Wellness LLC
Primary Specialty
Nurse Practitioner - Adult Health
Enumeration Date
Aug 7, 2025
Last Updated
Aug 7, 2025

Practice Location

Address
3465 DUNCAN AVE NE
City
Salem
State
Oregon
ZIP Code
97301-0811

Authorized Official

Name
TAMMY STUBER, AGNP
Title
OWNER
Phone
(503) 551-9873

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Adult HealthAdult Health

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