Tailese Swanson, COUNSELING STUDENT

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

7044 SW Gonzaga St Unit 101
Portland, OR 97223-8303

Phone

(503) 720-3276

NPI assigned

Oct 13, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1669348082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1228",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975301228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7044 SW GONZAGA ST UNIT 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238303",
            "telephone_number": "503-720-3276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 1228",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "OR",
            "postal_code": "975301228",
            "country_code": "US",
            "telephone_number": "541-621-2312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "TAILESE",
        "credential": "COUNSELING STUDENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": "8884",
            "primary": false
        },
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "OR",
            "license": "128292",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Ellen Cressa Swanson, PMHNP
• Marissa Swanson, MA, LPC
• Marta Joy Swanson, RD
• Nicole Swanson, LPN
• Sara Jean Swanson, M.A.
• William Swanson
• Zoe Swanson
• Melvon Clifford Huan Swanston II, QMHA
• Lee Leray Swanstrom, MD
• Daniel Keifala Swaray

• Student in an Organized Health Care Education/Training Program in Portland, OR
• Providers in Portland, OR by specialty
• Student in an Organized Health Care Education/Training Program in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.