Tangi Celeste Deffendall

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

10373 NE Hancock St Ste 200
Portland, OR 97220-3873

Phone

(503) 253-6754

NPI assigned

Nov 21, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tangi Celeste Livingston Other name

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": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1720803950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8459",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972078459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10373 NE HANCOCK ST STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203873",
            "telephone_number": "503-253-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFFENDALL",
        "first_name": "TANGI",
        "middle_name": "CELESTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANGI",
            "last_name": "LIVINGSTON",
            "middle_name": "CELESTE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicholas Deetz
• Michael John Defabio, LMT BS
• Anthony F. Defazio, RPH
• Lesley Ann Defazio, P.T.
• Vincent Michael Defazio, M.ED.
• Heather Jean Deford, MPT
• Noah Brady Defranceschi
• Sara Elaine Defrancesco, ND, LAC
• Crystal Defrang
• Lorna J Defreest, COTA

• Peer Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.