SearchWashington101YA0400X

Tamara Light, SUDP

NPI 1326560558 · on the registry since 2017 · sole proprietor

Practice

Address
6700 Martin Way E Ste 117
Olympia, WA 98516
Phone
(360) 413-6910
Organisation at this address
Evergreen Treatment Services
Evergreen Treatment Services Unit 5
Inferred from a shared address, not stated in the registry.
Clinicians at this address
48

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YA0400X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-05-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington