ANGELA TANNER (NPI# 1508145020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508145020 |
| Entity Type | Individual |
| Full Name | ANGELA TANNER |
| Practice Address |
506 Sw 6th Ave Suite 905 Portland OR 97204-1533 |
| Mailing Address |
14600 Nw Cornell Rd Portland OR 97229-5442 |
| Practice Telephone | 5032235525 |
| Mailing Telephone | 5036453581 |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2011-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588860365 | Angela Louise Tanner | Counselor | 344 Robin Helton Dr, Spartanburg, SC 29316-5380 | 2007-06-26 |
| 1841434818 | Angela Willoughby Tanner | Occupational Therapy Assistant | 447 Nw 73rd Ave, Plantation, FL 33317-1608 | 2009-04-21 |
| Street Address |
506 SW 6TH AVE SUITE 905 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97204-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700966926 | Jonathan Joseph Valen | Psychiatry & Neurology | 506 Sw 6th Ave, Ste 602, Portland, OR 97204-1533 | 2006-10-16 |
| 1023509718 | Claire Teasdale | Massage Therapist | 506 Sw 6th Ave, Portland, OR 97204-1533 | 2018-05-29 |
| 1841668944 | Abagail Rae Cole | Social Worker | 506 Sw 6th Ave, Suite 905, Portland, OR 97204-1533 | 2015-09-04 |
| 1982088480 | David Hayden | Counselor | 506 Sw 6th Ave, Portland, OR 97204-1533 | 2015-07-14 |
| 1962894345 | Shelby Leigh | Counselor | 506 Sw 6th Ave, Suite 801, Portland, OR 97204-1533 | 2015-02-23 |
| 1578963476 | Laura Marie Separa | Counselor | 506 Sw 6th Ave, Suite 905, Portland, OR 97204-1533 | 2014-08-27 |
| 1760809792 | Theresa Slocum | Counselor | 506 Sw 6th Ave, Portland, OR 97204-1533 | 2014-03-27 |
| 1679908040 | Teresa Lynn Laughlin | Massage Therapist | 506 Sw 6th Ave, Suite 801, Portland, OR 97204-1533 | 2013-09-04 |
| 1184994295 | Ashley Powell, Lmt | Massage Therapist | 506 Sw 6th Ave, Suite 801, Portland, OR 97204-1533 | 2012-01-05 |
| 1801166384 | Kjell Moline, L.ac. | Acupuncturist | 506 Sw 6th Ave, Suite 801, Portland, OR 97204-1533 | 2011-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922662352 | Sleep Management, L.L.C. | Respiratory Therapist, Registered | 1050 Sw 6th Avenue, Suite 1100 Office # 52, Portland, OR 97204 | 2019-05-01 |
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1790133031 | Modupe Desiree Bansile | Counselor | 209 Sw Fourth Ave, Suite 520, Portland, OR 97204 | 2016-05-26 |
| 1841655834 | Isabella Zaragoza | Counselor | 421 Sw Oak St Suite 520, Portland, OR 97204 | 2015-12-18 |
| 1952737736 | Hessler-cohen Enterprises LLC | Acupuncturist | 310 Sw 4rth Avenue, Suite 725, Portland, OR 97204 | 2013-09-24 |
| 1144583378 | Angela Nicole Johnson | Physical Therapist | 555 Sw Oak Street, Portland, OR 97204 | 2012-06-22 |
| 1255614624 | Jaclyn Rene Jones | Nurse Practitioner | 601 Sw 4th Ave, Portland, OR 97204 | 2011-09-22 |
| 1407148398 | Cristianne Paulsen | Dental Hygienist | 426 Sw Stark, 9th Floor, Portland, OR 97204 | 2011-05-10 |
| 1396928255 | Jessica L Hall | Counselor | 421 Sw Oak Street, Suite 520, Portland, OR 97204 | 2007-12-13 |
| 1699896274 | Julie Anne Oyemaja | Counselor | 421 Sw Oak St., Ste. 210, Portland, OR 97204 | 2007-04-02 |
| Find all providers in zip 97204 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
| 1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
| 1851916886 | Jonathan Cross | Counselor | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 |
| 1639703960 | Elizabeth Ann Anderson | Counselor | 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 | 2020-02-25 |
| 1194356618 | Deforrest Kwesi Jackson | Counselor | 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 | 2020-02-03 |
| 1760012942 | Jesse Decker | Counselor | 7015 N Boston Ave, Portland, OR 97217-5711 | 2020-01-16 |
| 1740829076 | Ryan Christianson | Counselor | 2707 Ne Flanders St, Portland, OR 97232-3159 | 2020-01-03 |
| 1083264477 | Kayla Rose Paris | Counselor | 420 Cumberland Ave, Portland, ME 04101-2823 | 2019-09-17 |
| 1275193260 | Anna Khval | Counselor | 1500 Se 122nd Ave, Portland, OR 97233-1207 | 2019-06-20 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.