Daniel Christian Tautenhan, LMT | |
6127 Ne Milton St, Portland, OR 97213-3243 | |
(503) 490-8144 | |
Not Available |
Full Name | Daniel Christian Tautenhan |
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Gender | Male |
Speciality | Massage Therapist |
Location | 6127 Ne Milton St, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750515599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 8088 (Oregon) | Primary |
Provider Name | Kaiser Foundation Health Plan Of The Northwest |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
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Daniel Christian Tautenhan, LMT 6127 Ne Milton St, Portland, OR 97213-3243 Ph: (503) 490-8144 | Daniel Christian Tautenhan, LMT 6127 Ne Milton St, Portland, OR 97213-3243 Ph: (503) 490-8144 |
Heidi Stachelrodt, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 Se Spokane St Ste 300, Portland, OR 97202 Phone: 503-866-9271 Fax: 971-386-1281 | |
Stephanie R Shevy, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 9055 Sw Beaverton Hillsdale Hwy, Ste A, Portland, OR 97225 Phone: 503-644-4664 Fax: 503-644-9005 | |
Colleen Mcclenahan, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 7409 Sw Capitol Hwy Ste 206, Portland, OR 97219 Phone: 503-816-4179 | |
Sunshine Welsch, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, 7d19, Portland, OR 97239 Phone: 503-494-8349 Fax: 503-494-6783 | |
Chung So, LMT(OREGON #4132) Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1616 Se Bybee Blvd, Portland, OR 97202 Phone: 503-236-4654 | |
Joelle Anne Cappello, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1928 Ne 40th Ave, Portland, OR 97212 Phone: 503-287-2787 | |
Mrs. Monicka April Koneski, LMT, RYT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1235 Se Division St, Suite 203b, Portland, OR 97202 Phone: 503-319-8056 |