TIGARD TENDERCARE PC (NPI# 1023434271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023434271 |
| Entity Type | Organization |
| Organization Name | TIGARD TENDERCARE PC |
| Practice Address |
11960 Sw Pacific Hwy Tigard OR 97223-6439 |
| Practice Telephone | 5036707088 |
| Mailing Telephone | 5036707088 |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |
| Authorized Official Name | JUSTIN RAY MAROSTICA (PRESIDENT) |
| Authorized Official Telephone | 5036707088 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
D9419 | OR | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | TIGARD TENDERCARE PC | 11960 Sw Pacific Highway, Tigard, OR 97223 |
| Street Address |
11960 SW PACIFIC HWY |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-6439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932579661 | Straight Up Chiropractic | Clinic/Center | 12700 Sw North Dakota St, Ste 180, Tigard, OR 97223-0802 | 2015-10-07 |
| 1285023382 | Concussion & Whiplash Clinic, LLC | Clinic/Center | 7100 Sw Hampton St Ste 121c, Tigard, OR 97223-8390 | 2015-01-13 |
| 1801296447 | Inhousedoc | Clinic/Center | 12720 Sw Pacific Hwy Ste 1, Tigard, OR 97223-6125 | 2014-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225665623 | Onlinevisit LLC | Clinic/Center | 2024 Sw Howards Way Apt 501, Portland, OR 97201-7726 | 2020-03-25 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1801452818 | Everybody Wellness, LLC | Clinic/Center | 2143 Ne Broadway St Ste 9, Portland, OR 97232-1512 | 2019-05-15 |
| 1801451737 | Cephus Chiropractic LLC | Clinic/Center | 19755 Sw Tv Hwy, Aloha, OR 97003-2338 | 2019-05-06 |
| 1467934661 | Columbia River Health-pendleton High School Sbhc | Clinic/Center | 1800 Nw Carden Ave, Pendleton, OR 97801-1185 | 2018-09-04 |
| 1639651839 | Columbia River Health-sunridge Middle School Sbhc | Clinic/Center | 700 Sw Runnion Ave, Pendleton, OR 97801-9418 | 2018-09-04 |
| 1114433802 | Thriving Acupuncture | Clinic/Center | 1708 Nw 25th Ave Apt 6, Portland, OR 97210-2435 | 2017-12-18 |
| 1538681408 | Golden Ribbon Acupuncture, LLC | Clinic/Center | 1217 Ne Burnside Rd Ste 701, Gresham, OR 97030-5770 | 2017-07-12 |
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1417484460 | Be Well Acupuncture | Clinic/Center | 3125 Ne Holladay St # B, Portland, OR 97232-2504 | 2017-05-20 |
| Find all providers with the same taxonomy | ||||
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| 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.