Individual provider · Type 1 NPI

Tailese Swanson, COUNSELING STUDENT

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1669348082 Active

Practice location

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

Call (503) 720-3276 Map

Mailing address

PO Box 1228
Jacksonville, OR 97530-1228

Other practice locations

  • PO Box 1228, Jacksonville, OR 97530-1228 · (541) 621-2312

Specialties and licenses

TaxonomyCodeLicense
Nutrition Education Nutritionist 133NN1002X8884
Intermediate Emergency Medical Technician 146M00000X128292 (OR)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669348082

Tailese Swanson, COUNSELING STUDENT's National Provider Identifier is 1669348082, issued on Oct 13, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Aug 11, 2026.