Tamara Blum DC PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

272808 Issued in OR

Legal business name

TAMARA BLUM DC PC

Doing business as

Creswell Chiropractic

Practice address

24 West Oregon Avenue
Creswell, OR 97426

Phone

(541) 895-4464

Fax

(541) 895-3359

NPI assigned

Jun 10, 2010

Last updated

Jun 10, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tamara Lynn Blum, D.C.

Title

President

Phone

(541) 895-4464

Specialties & licenses 1

Addresses

Other names 1

• Creswell Chiropractic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1447570668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "CRESWELL",
            "state": "OR",
            "postal_code": "974260207",
            "telephone_number": "541-895-4464",
            "fax_number": "541-895-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WEST OREGON AVENUE",
            "city": "CRESWELL",
            "state": "OR",
            "postal_code": "97426",
            "telephone_number": "541-895-4464",
            "fax_number": "541-895-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARA BLUM DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-895-4464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "272808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creswell Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara Schwan
• Elena D Shore, LCSW
• Tyler Aaron Shupe, DPT
• Raema Lynn Smith, PT
• Jennifer Sullivan
• Therapeutic Associates Inc (TAI - Creswell Physical Therapy)
• Therapeutic Associates, Inc (TAI - Creswell Physical Therapy)
• Sydney Trimboli, LPC
• Sarah Trumbore, PHARMD
• Jessica Lyn Uhl, RN

• Clinic/Center in Creswell, OR
• Providers in Creswell, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.