Provider Demographics
NPI:1295071116
Name:OGDEN, TAMERA MARIE
Entity type:Individual
Prefix:
First Name:TAMERA
Middle Name:MARIE
Last Name:OGDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1990 6TH ST
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-6712
Mailing Address - Country:US
Mailing Address - Phone:541-387-0252
Mailing Address - Fax:
Practice Address - Street 1:1990 6TH ST
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-6712
Practice Address - Country:US
Practice Address - Phone:541-387-0252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-20
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator