TANDEM NORTHWEST, INC. (NPI# 1750907960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750907960 |
| Entity Type | Organization |
| Organization Name | TANDEM NORTHWEST, INC. |
| Practice Address |
348 Dennis Ln N Keizer OR 97303-5936 |
| Mailing Address |
101 Pine St Ne Salem OR 97301-0728 |
| Practice Telephone | 5035894901 |
| Mailing Fax Number | 5035894901 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Authorized Official Name | JASON MCARTHUR (CFO) |
| Authorized Official Telephone | 5034285233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 10456 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | TANDEM NORTHWEST, INC. | 101 Pine St Ne, Salem, OR 97301 |
| Street Address |
348 DENNIS LN N |
| City | KEIZER |
| State | OR |
| Zip Code | 97303-5936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649750175 | Kristin Marie Barz | Behavioral Analyst | 4690 12th Ave Ne, Keizer, OR 97303 | 2018-08-15 |
| 1003359605 | Angela Rose Richard | Community Health Worker | 3410 Cherry Avenue Ne, Keizer, OR 97303 | 2016-11-30 |
| 1881146629 | Alma Denise Vera | Dental Hygienist | 5825 Shoreview Lane Ste C, Keizer, OR 97303 | 2016-10-27 |
| 1679919849 | Ramya Shyamala Kamath | Dentist | 4817 River Rd N, Keizer, OR 97303 | 2013-05-15 |
| 1356682041 | Teresa M Treinen | Physical Therapist | 190 Sandy Drive N, Keizer, OR 97303 | 2013-03-06 |
| 1598001844 | Eagle Eye Vision Care LLC | Optometrist | 4048 River Road North, Keizer, OR 97303 | 2012-12-13 |
| 1245590553 | Thora Jane Stacy | Dental Assistant | 2300 N.e. Lacncaster Dr., Salem, OR 97303 | 2012-05-21 |
| 1295028850 | Rodger Nordskog Magnuson | Pharmacist | 5452 River Road N., Keizer, OR 97303 | 2011-05-16 |
| 1326299843 | Douglas Scott Hamblin | Pediatrics | 5685 Inland Shores Way, Keizer, OR 97303 | 2008-10-02 |
| 1982870382 | Debra Kaye Lynch | Podiatrist | 4905 River Road N, Keizer, OR 97303 | 2008-05-06 |
| Find all providers in zip 97303 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240558 | Community Access Services II, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1815 Nw 169th Pl Ste 1060, Beaverton, OR 97006-7365 | 2020-06-22 |
| 1134619752 | Asd Stepping Stones To Success | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 91145 N Willamette St Ste 8211, Coburg, OR 97408-9700 | 2018-05-18 |
| 1669864724 | Visions LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 E Broadway Ste 100, Eugene, OR 97401-3175 | 2015-02-26 |
| 1417375270 | Educational Training Program Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15420 Forsythe Rd, Oregon City, OR 97045-8742 | 2014-03-30 |
| 1023356391 | Trust Home Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10706 Sw Capitol Hwy Apt 58, Portland, OR 97219-6880 | 2013-01-22 |
| 1255678157 | Renew Consulting, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1555 Post St, Lebanon, OR 97355-4060 | 2013-01-11 |
| 1881931798 | Renew Consulting, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3415 Columbia View Dr, The Dalles, OR 97058-9703 | 2013-01-11 |
| 1255676078 | Renew Consulting, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8129 Sw 168th Ave, Beaverton, OR 97007-6504 | 2012-12-05 |
| 1285978569 | Renew Consulting, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 704 38th Ave Se, Albany, OR 97322-3807 | 2012-11-27 |
| 1427354844 | Renew Consulting, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 127 Broadalbin St Sw, Albany, OR 97321-2200 | 2011-02-02 |
| 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.