DR. CRAIG EDWARD TANNER (NPI# 1477662112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477662112 |
| Entity Type | Individual |
| Full Name | DR. CRAIG EDWARD TANNER |
| Credential | M.D. |
| Practice Address |
815 Ne Davis St Portland OR 97232-2964 |
| Practice Telephone | 8008966287 |
| Mailing Telephone | 8008966287 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2016-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD150779 | OR | Allopathic & Osteopathic Physicians |
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
MD150779 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
815 NE DAVIS ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-2964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861413452 | Legacy Visiting Nurse Association | Hospice, Inpatient | 815 Ne Davis St, Portland, OR 97232-2964 | 2006-07-21 |
| 1730672247 | Angela Loerzel | Social Worker | 815 Ne Davis St, Portland, OR 97232-2964 | 2018-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902121890 | Jessica Lynn Bordley | Internal Medicine | 3181 Sw Sam Jackson Park Rd # L586, Ohsu Division Hematology/oncology, Portland, OR 97239-3011 | 2010-04-02 |
| 1316193485 | Nora Tobin | Internal Medicine | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2008-08-08 |
| 1639375876 | Jessica Safra | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2007-06-25 |
| 1598977159 | David P Thompson | Internal Medicine | 3181 Sw Sam Jackson Park Rd, L587, Portland, OR 97239-3011 | 2007-05-04 |
| 1184719916 | David F Giansiracusa | Internal Medicine | 22 Bramhall St, Portland, ME 04102-3134 | 2006-10-04 |
| 1922067487 | Constance Rosson | Internal Medicine | 1130 Nw 22nd Ave Ste 220, Portland, OR 97210-2969 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821171570 | Anna Kate Westmoreland | Internal Medicine | 2825 E Barnett Rd # Rc, Medford, OR 97504-8332 | 2006-10-23 |
| 1861825820 | Providence Health & Services - Oregon | Internal Medicine | 9280 Se Sunnybrook Blvd, Suite 200, Clackamas, OR 97015-9353 | 2013-08-14 |
| 1497187710 | Providence Health & Services -oregon | Internal Medicine | 1003 Providence Dr, Suite 310, Newberg, OR 97132-7524 | 2013-08-09 |
| 1689680134 | Paul Benjamin Bascom | Internal Medicine | 94220 4th St, Gold Beach, OR 97444-7756 | 2006-08-01 |
| 1851341531 | Anthony Mistretta | Internal Medicine | 2825 E. Barnett Rd, Medford, OR 97504-8332 | 2006-05-11 |
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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.