Tanya R Wormdahl is a Specialist in Portland, Oregon. Tanya R Wormdahl practices all healthcare services and medical treatments related to Specialist. The NPI Number for Tanya R Wormdahl is 1255501805. The last update date is 2008-03-10.
Tanya R Wormdahl's current location address is 5553 Ne Glisan St, Portland, Oregon. You can contact this provider via phone number 5037573878. The mailing address for Tanya R Wormdahl is 5553 Ne Glisan St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tanya R Wormdahl |
|---|---|
| Address | 5553 Ne Glisan St, Portland, Oregon |
| Phone Number | 5037573878 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1255501805 |
|---|---|
| Provider Enumeration Date | 2008-03-10 |
| Last Updated Date | 2008-03-10 |
Provider Mailing Address Detail
| Address | 5553 Ne Glisan St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972133173 |
| Phone Number | 5037573878 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 11215 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Tanya R Wormdahl?
The Tanya R Wormdahl has been issued the NPI (National Provider Identifier) 1255501805 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Tanya R Wormdahl's physical address?
The Tanya R Wormdahl is physically located at 5553 Ne Glisan St, in the city of Portland, OR, with the postal code 972133173.
What is the area of specialization for Tanya R Wormdahl, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tanya R Wormdahl is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
When was the Tanya R Wormdahl's 1255501805 issued?
The Tanya R Wormdahl's 1255501805 was issued on 2008-03-10.
As of what date was the information pertaining to Tanya R Wormdahl, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tanya R Wormdahl, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-03-10.