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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA LEE FETTERLY, QMHA

Active

TARA LEE FETTERLY, QMHA is a Peer Specialist healthcare provider located in PRINEVILLE, Oregon. NPI 1790222487 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · PRINEVILLE, OR

Registration Details

NPI Number
1790222487
Provider Type
Individual
Gender
Female
NPI Issued
Jan 19, 2017 (9.5271322495777 yrs)
Last Updated
Jan 19, 2017

Practice Information

Address
1251 NE ELM ST
PRINEVILLE, OR, 977541206
Browse OR providers · Browse ZIP 97754
Phone
5413235330
Fax
5414474418
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in PRINEVILLE, OR

Name Credential NPI
GLENDA MILLER 1497115018
SHELLEY RENEE HOOD 1366892390
MARY KATHERINE BROOK 1518404078
BONNIE MCMILLAN 1316424971
JOLEIGH CREASON 1386121044
CYNTHIA R BESE PSS, QMHA 1477118842
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.