Individual provider · Type 1 NPI

Tanya R. Wormdahl, LMT

Specialist · Portland, OR

NPI number 1255501805 Active

Practice location

5553 NE Glisan St, 300
Portland, OR 97213-3173

Call (503) 757-3878 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X11215 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1255501805

Tanya R. Wormdahl, LMT's National Provider Identifier is 1255501805, issued on Mar 10, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Mar 10, 2008.