TAMARA COTTONGIM
NPI 1215281209
Licensed Practical Nurse in Medford, OR

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since October 30, 2012

3617 S PACIFIC HWY, MEDFORD, OR 97501(541) 512-3182 Get Directions Write a Review

NPPES record last updated: October 30, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Tamara Cottongim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMARA COTTONGIM (NPI 1215281209) is an individual licensed practical nurse in Medford, Oregon, licensed in Oregon (096000435RN) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1215281209

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameTAMARA COTTONGIM

Location Address3617 S PACIFIC HWYMedford, OR 97501-8957

Mailing Address3617 S Pacific HwyMedford, OR 97501-8957 · (541) 512-3182

Phone(541) 512-3182

Sole ProprietorNo

Enumeration DateOctober 30, 2012

✔ NPI 1215281209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in OR · 096000435RN

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

3617 S PACIFIC HWY, Medford, OR 97501

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