Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tara Lee Fetterly, QMHA

Individual provider Peer Specialist · NPI 1790222487

Tara Lee Fetterly, QMHA is a Peer Specialist in Prineville, Oregon. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

1251 NE Elm St
Prineville, OR 97754-1206
Phone: (541) 323-5330
Fax: (541) 447-4418
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1790222487
Entity typeIndividual (Type 1)
GenderFemale
Credentials QMHA
Sole proprietorNo
NPI enumeratedJanuary 19, 2017
Last updated in NPPESJanuary 19, 2017

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