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Tammy Lish-Watson
NPI 1417434689 · on the registry since 2018
Practice
- Address
- 1720 18th Ave
Lewiston, ID 83501 - Phone
- (509) 780-9002
- Organisation at this address
- Phil Waggoner
Riverside Recovery LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Additional practice sites
- 526 Airway Ave, Lewiston, ID
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101YA0400X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-24
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 Idaho