Atkinson, Tana Rae

Atkinson, Tana Rae is an individual health care provider with primary practice located at 2262 Banyonwood Ave Nw , Salem OR 97304-1341. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Atkinson, Tana Rae can be contacted via phone (503) 580-5475.

Contact Information

Primary practice address
2262 Banyonwood Ave Nw Salem OR 97304-1341
Phone: (503) 580-5475
Fax: (503) 362-6071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 1003215 Oregon

Profile Details

NPI number 1245366913
LBN Legal business name Atkinson, Tana Rae
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jul 9th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245366913 NPPES
Oregon MEDICAID 206974

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