RYAN TATEISHI


Address: 966 12th St Se Ste 110, Salem, OR 97302-2860
Phone: 5038144400

RYAN TATEISHI (NPI# 1003315045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003315045
Entity Type Individual
Full Name RYAN TATEISHI
Practice Address 966 12th St Se Ste 110
Salem
OR 97302-2860
Mailing Address Po Box 13129
Salem
OR 97309-1129
Practice Telephone 5038144400
Enumeration Date 2018-02-05
Last Update Date 2019-11-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
RN60364120 WA Nursing Service Providers
N 363L00000X Nurse Practitioner 201900796NP-PP OR Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
201900796NP OR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 966 12TH ST SE STE 110
City SALEM
State OR
Zip Code 97302-2860

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952954679 Eric Anthony Bohm Pharmacist 2757 22nd St. Se, Salem, OR 97302 2019-07-22
1598223737 Michael Robert Martini Counselor 960 Liberty Rd Se Suite 120, Salem, OR 97302 2019-03-06
1659857480 Avalina Pharmacy Inc Pharmacy 3507 Commercial St Se, Salem, OR 97302 2018-07-16
1649762733 Joseph Bochsler Physical Therapist 3220 Liberty Rd. S., Salem, OR 97302 2018-06-04
1922533652 Brianne Elizabeth Sischo Licensed Practical Nurse 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 2017-05-01
1851825566 Modern Nose Clinic LLC Otolaryngology 340 Vista Ave Se, Ste 100, Salem, OR 97302 2017-04-19
1720529803 Nicholas Forsberg Massage Therapist 126 Mize Rd S, Salem, OR 97302 2017-03-09
1437691078 Kimo Mahi Specialist/Technologist, Other 2373 Kuebler Rd. S, Salem, OR 97302 2016-11-14
1588113278 New Life Family Medicine LLC Clinic/Center 842 Commercial Street Ne, Salem, OR 97302 2016-09-23
1073060117 Susan Morag Robnett Counselor 912 Fir Street South, Salem, OR 97302 2016-09-07
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366073421 Aspire Telepsychiatry Nurse Practitioner 1910 24th St Ne, Salem, OR 97301-8150 2020-01-28
1962058362 Kimberly Diane Nelson Nurse Practitioner 35 Congress St Ste 225, Salem, MA 01970-5529 2019-08-13
1861970972 Norrine Mcnelley Nurse Practitioner 25 Beechwood Rd, Salem, NH 03079 2018-07-31
1235493495 Sarah Frances Robbins Nurse Practitioner 1595 Roosevelt St Ne, Salem, OR 97301 2012-07-02
1700155538 Vanessa Anne Underwood Nurse Practitioner 1595 Cottage St Ne, Salem, OR 97301-7123 2011-12-22
1134364524 Sharon Vaden Karn Nurse Practitioner 870 Commercial St Se, Salem, OR 97302-4108 2008-12-12
1861605768 Barbara S Miller Nurse Practitioner Odoc, 2605 State St, Salem, OR 97310-0001 2007-05-07
1538225818 Aleyna Cecile Reed Nurse Practitioner 685 Cottage St Ne, Salem, OR 97301-2419 2006-12-29
1407915408 James Ben Newman Nurse Practitioner 1235 Woodrow St Ne, Salem, OR 97303-3214 2006-12-06
1033285713 Rita Herlong Nurse Practitioner 4035 12th Street Cutoff, Suit120, Salem, OR 97302-1764 2006-11-27
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Competitor

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City SALEM
Zip Code 97302

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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