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Contact Information

TARA PFAFF, FNP-BC
36860 INDUSTRIAL WAY
SANDY, OR97055
 Phone: 503-826-0206
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TARA PFAFF · (Female)

NPI Number 1053840330
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 06/08/2017
Last updated 11/25/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 201405290NP-PP
  • Other 00 DO NOT HAVE (NEED NPI TO GET MEDICAID ID)
Hospital affiliation(s)
  • LEGACY MOUNT HOOD MEDICAL CENTER - (Acute Care)
    24800 SE STARK STREET
    GRESHAM, OR 97030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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