Ronald Tatum, BA

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

22018 S Central Point Rd
Canby, OR 97013-8705

Phone

(503) 221-4531

Fax

(503) 221-4531

NPI assigned

Feb 26, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alliance Counseling Center, Inc

  • Mental Health Counselor
  • Canby, OR
  • NPI 1255495719
  NPD

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1376044131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17435 SW BLANTON ST",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970781340",
            "telephone_number": "503-332-9112",
            "fax_number": "503-263-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22018 S CENTRAL POINT RD",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970138705",
            "telephone_number": "503-221-4531",
            "fax_number": "503-221-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "RONALD",
        "name_prefix": "Mr.",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500606514",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter C Sunderland, MSN, PMHNP-BC
• Sunshine Family Healthcare
• Sunshine Family Midwifery
• Erin Lynn Sweet-Brazel, LMFT
• Tara Young PHD Rd Nutrition Consultant LLC
• Zoltan Teglassy, MD
• Robert Wright Templin, RPH
• Therapeutic Associates Inc (Tai - Canby)
• Therapy Experienced
• Thomas D Utterback, MD, PC

• Counselor in Canby, OR
• Providers in Canby, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.