Tetsu Jonathan Tanaka in Portland - Counselor
Tetsu Jonathan Tanaka - NPI 1710189618
Tetsu Jonathan Tanaka is a Counselor in Portland, Oregon. Tetsu Jonathan Tanaka practices all healthcare services and medical treatments related to Counselor. The NPI Number for Tetsu Jonathan Tanaka is 1710189618. The last update date is 2007-07-08.
Tetsu Jonathan Tanaka's current location address is 3415 Se Powell Blvd, Portland, Oregon. You can contact this provider via phone number 5032349591. The mailing address for Tetsu Jonathan Tanaka is 3415 Se Powell Blvd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tetsu Jonathan Tanaka |
|---|---|
| Address | 3415 Se Powell Blvd, Portland, Oregon |
| Phone Number | 5032349591 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1710189618 |
|---|---|
| Provider Enumeration Date | 2007-06-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3415 Se Powell Blvd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972023371 |
| Phone Number | 5032349591 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique identification code assigned to Tetsu Jonathan Tanaka by the Centers for Medicare & Medicaid Services?
The Tetsu Jonathan Tanaka has been issued the NPI (National Provider Identifier) 1710189618. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Tetsu Jonathan Tanaka?
The Tetsu Jonathan Tanaka is situated at 3415 Se Powell Blvd, in the city of Portland, state of OR, with the zip code 972023371.
What is Tetsu Jonathan Tanaka's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tetsu Jonathan Tanaka's area of specialization is Counselor, and the corresponding taxonomy code that categorizes this field of practice is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710189618 to Tetsu Jonathan Tanaka?
The Centers for Medicare & Medicaid Services originally issued the 1710189618 to Tetsu Jonathan Tanaka on 2007-06-03.
As of what date was the information regarding Tetsu Jonathan Tanaka, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tetsu Jonathan Tanaka, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.