Walter, Tasha Anne

Walter, Tasha Anne is an individual health care provider with primary practice located at 155 S Empire Blvd , Coos Bay OR 97420-3374. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Walter, Tasha Anne can be contacted via phone (541) 756-3111.

Contact Information

Primary practice address
155 S Empire Blvd Coos Bay OR 97420-3374
Phone: (541) 756-3111
Fax: (541) 756-2111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 19-QMHA-I-00761 Oregon
Other Service Providers / Peer Specialist 175T00000X 11-CRM-131 Oregon
Other Service Providers / Peer Specialist 175T00000X THW000002674 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12-12-62 Oregon

Profile Details

NPI number 1114499324
LBN Legal business name Walter, Tasha Anne
Credentials CADC 1, CRM, PSS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2018
Last updated Apr 15th, 2019 - about 6 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.

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