Tatum Marcille Sohlberg
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Palo Alto, CA
NPI 1194285148 · NPPES record last updated Mar 24, 2019
Key facts
- NPI
- 1194285148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 725 Welch Rd
Palo Alto, CA 94304-1601 - Phone
- (650) 497-8000
- NPI assigned
- Mar 24, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Interoperability endpoints
- tsohlberg19916@smch.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
725 Welch Rd
Palo Alto, CA 94304-1601
Mailing address
1710 SW Harbor Way Unit 205
Portland, OR 97201-5154
Phone (541) 556-2072
Other providers in Palo Alto, CA
- Raymond Sobel
- Stacey C Soderquist
- Naina Sodhi
- Brandon T Sodos
- Karnik Cory Soghomonian
- Rita Sohlich
- Wen Jong Eric Sok
- Jeremy Sokolove
- Beatriz Maria Solari
- Jessica Solari
All providers in Palo Alto, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.