MEDICARE: TAWNY DASHER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	372600000X	Adult Companion

General Provider Information

NPI Number	:	1144766460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAWNY DASHER

Provider Business Mailing Address
First Line	:	8915 SW CENTER ST
Second Line	:
City	:	TIGARD
State	:	OR
Zip	:	97223-6307
Country	:	US
Telephone Number	:	503-726-3740
Fax Number	:

Provider Business Practice Location Address
First Line	:	847 NE 19TH AVE
Second Line	:	SUIT 100
City	:	PORTLAND
State	:	OR
Zip	:	97232-2684
Country	:	US
Telephone Number	:	503-238-0769
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2017
Last Update Date	:	12/16/2025

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Directions to “ TAWNY DASHER ” Practice Location

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