Tara Sanderson is a Clinical in Newberg, Oregon. Tara Sanderson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tara Sanderson is 1841469616. The last update date is 2020-03-03.
Tara Sanderson's current location address is 901 Brutscher St # D141, Newberg, Oregon. You can contact this provider via phone number 9712640879 and fax number 9719258613. The mailing address for Tara Sanderson is 901 Brutscher St # D141, Newberg, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara Sanderson |
|---|---|
| Address | 901 Brutscher St # D141, Newberg, Oregon |
| Phone Number | 9712640879 |
| Fax Number | 9719258613 |
| Sole Proprietor | N |
| Credentials | PSYD, MBA |
NPI Number Detail
| NPI Number | 1841469616 |
|---|---|
| Provider Enumeration Date | 2008-02-26 |
| Last Updated Date | 2020-03-03 |
Provider Mailing Address Detail
| Address | 901 Brutscher St # D141 |
|---|---|
| City | Newberg |
| State | Oregon (OR) |
| Post Code | 971326096 |
| Phone Number | 9712640879 |
| Fax Number | 9719258613 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2324 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500706752 | OR | DMAP |
Post Comment/ Review Below
What is the Tara Sanderson's 1841469616?
The Tara Sanderson's NPI (National Provider Identifier) Number is 1841469616. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Tara Sanderson is geographically located?
The Tara Sanderson is physically situated at the following location: 901 Brutscher St # D141, Newberg, OR, 971326096.
What is the Tara Sanderson's area of specialization and corresponding taxonomy classification?
The Tara Sanderson's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1841469616 to Tara Sanderson?
The Centers for Medicare & Medicaid Services originally issued the 1841469616 to Tara Sanderson on 2008-02-26.
As of what date were the details related to Tara Sanderson most recently updated or revised?
The information pertaining to Tara Sanderson, including its address, specialty, and other relevant details, was last updated or revised on 2020-03-03.