Organization Active NPI

Tan Oak Wellness Services

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1619631470
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TAN OAK WELLNESS SERVICES
Practice address
205 SE Spokane St Ste 356
Portland, OR 97202-6494
Phone
(971) 272-6225
NPI assigned
Oct 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Authorized official

Name
Margie A Polmateer, LPCNPI 1437607975
Title
Owner
Phone
(503) 781-1075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

205 SE Spokane St Ste 356
Portland, OR 97202-6494

Mailing address

205 SE Spokane St Ste 356
Portland, OR 97202-6494
Phone (971) 272-6225

National Provider Directory

National Provider Directory

Locations

8305 SE Monterey Ave
Ste 220F
Happy Valley, OR 97086
Phone (971) 272-6225

205 SE Spokane St
Ste 356
Portland, OR 97202
Phone (503) 388-4255

205 SE Spokane St
Ste 324
Portland, OR 97202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1619631470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SE SPOKANE ST STE 356",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026494",
            "telephone_number": "971-272-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SE SPOKANE ST STE 356",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026494",
            "telephone_number": "971-272-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAN OAK WELLNESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "POLMATEER",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-781-1075",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.