Tanya Borah, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC 00000642 Issued in WA

Practice address

4560 SE International Way Ste 100
Milwaukie, OR 97222-4628

Phone

(971) 206-5237

NPI assigned

Mar 31, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1992168538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 NE DEWATTO RD",
            "city": "TAHUYA",
            "state": "WA",
            "postal_code": "985889481",
            "telephone_number": "360-372-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 SE INTERNATIONAL WAY STE 100",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972224628",
            "telephone_number": "971-206-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORAH",
        "first_name": "TANYA",
        "name_prefix": "Ms.",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC 00000642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amie Boivin
• Alireza Farid Bolouri, DMD
• Philip Manning Bolton, MD
• Carrie Booth
• Sara Ann Booth, MSW
• Aaron Nickolas Boren, D.M.D.
• Jordan Bovey, PHARM.D
• Hailee Bowden, PTA
• Anna Elizabeth Bowen
• Alison Gayle Boyce, LMT

• Occupational Therapy Assistant in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Occupational Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.