SearchOregon122400000X

Kevin Tatlock, L.D

NPI 1649381062 · on the registry since 2006 · sole proprietor

Practice

Address
473 Sw 12th St
Ontario, OR 97914
Phone
(541) 889-3282
Fax
(541) 881-0653

Registry record

Primary taxonomy
122400000X
122400000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-09

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 Oregon