Tammy Marie Lundbom
Individual provider Active NPI Case Manager/Care Coordinator · Fairview, OR
NPI 1194862839 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1194862839
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 2714 NE 205TH Ave Apt 228
Fairview, OR 97024-9649 - Phone
- (503) 914-9768
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Adult Companion | 372600000X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
2714 NE 205TH Ave Apt 228
Fairview, OR 97024-9649
Mailing address
2714 NE 205TH Ave Apt 228
Fairvew, OR 97024
Phone (503) 914-9768
Other providers in Fairview, OR
- Crystal Shan Lei
- Rebecca Leibham
- Toni Kachiri Lewis
- Alicia Loughlin
- Lara Loughlin
- Katherine Coll Mabou
- Denise Maddock
- Naomi Ann Mandsager
- Juan Mata
- Samuel Mattingly
All providers in Fairview, OR · Case Manager/Care Coordinator in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. 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.