Tahana Whitecrow Foundation

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

TAHANA WHITECROW FOUNDATION

Practice address

2350 Wallace Rd NW
Salem, OR 97304-2127

Phone

(503) 585-0564

Fax

(503) 585-3302

NPI assigned

Nov 10, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Melanie Mae Smith, CADCII NCACI

Title

Director Substance Abuse Counselor

Phone

(503) 585-0564

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tahana Whitecrow Outpatient Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356322713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 WALLACE RD NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973042127",
            "telephone_number": "503-585-0564",
            "fax_number": "503-585-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 WALLACE RD NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973042127",
            "telephone_number": "503-585-0564",
            "fax_number": "503-585-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHANA WHITECROW FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "DIRECTOR SUBSTANCE ABUSE COUNSELOR",
        "authorized_official_telephone_number": "503-585-0564",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CADCII NCACI"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132832",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tahana Whitecrow Outpatient",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Guinevere Noelle Tadina, RDH
• Daphne Tadlock, LPN
• Garth Ludwick Taft
• Jesanne Tageson-Ramirez, PA-C
• David Taghon
• Joshua Tai
• Esther Y Tak, N.D.
• Elizabeth Anh Smith Takamori, DDS, MS
• Takashi Yamamoto L.Ac. PC
• Alison Kay Takeo, FNP

• Addiction (Substance Use Disorder) Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.