MRS. Tamara Larae Coppedge, EFDA,PTDA

NPI #1548379274 in Tigard, Oregon

Provider Information

NPI Number: 1548379274
Entity Type: Individual
Name: MRS. Tamara Larae Coppedge, EFDA,PTDA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Credential: EFDA,PTDA
Enumeration Date: Aug 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 7105 SW HAMPTON ST
City: Tigard
State: Oregon
ZIP Code: 97223-8314
Phone: (503) 684-9274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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