Sanderson, Tara
Sanderson, Tara is an individual health care provider with primary practice located at 11845 Sw Greenburg Rd Ste 210 , Tigard OR 97223-6464. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sanderson, Tara can be contacted via phone (971) 264-0879.Contact Information
Primary practice address
11845 Sw Greenburg Rd Ste 210
Tigard OR 97223-6464
Phone: (971) 264-0879
Fax: (971) 266-4521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2324 | Oregon |
Profile Details
| NPI number | 1841469616 |
|---|---|
| LBN Legal business name | Sanderson, Tara |
| Credentials | PSYD, MBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2008 |
| Last updated | Mar 3rd, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841469616 | NPPES |
| Oregon | Other | 500706752 | DMAP |
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