Provider Demographics
NPI:1336659804
Name:O'GUINN, TAMERA LANE (RN)
Entity Type:Individual
Prefix:
First Name:TAMERA
Middle Name:LANE
Last Name:O'GUINN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 E 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97448-1803
Mailing Address - Country:US
Mailing Address - Phone:541-780-6361
Mailing Address - Fax:541-234-2452
Practice Address - Street 1:210 E 6TH AVE
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:OR
Practice Address - Zip Code:97448-1803
Practice Address - Country:US
Practice Address - Phone:541-780-6361
Practice Address - Fax:541-234-2452
Is Sole Proprietor?:No
Enumeration Date:2017-10-10
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR86000298RN101YM0800X
OR086000298RN101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health