Tamara Jane Mucha, MPT
Physical Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1457440331
StatusActive
Last updated in NPPESJul 15, 2007
Details
- NPI
- 1457440331
- Entity type
- Individual (NPI-1)
- Name
- Ms. Tamara Jane Mucha
- Credential
- MPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2006
- Last updated
- Jul 15, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 4070 | OR | Yes |
| 225100000X | Physical Therapist | PT00008265 | WA |
Practice location
3325 N Interstate AveKaiser Permanente Pain Management Clinic
Portland, OR 97227-1020
Phone 503-813-2000
Mailing address
3325 N Interstate AveKaiser Permanente Pain Management Clinic
Portland, OR 97227-1020
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