MEDICARE: MS. CHRISTINE ALICE TANDY LPC

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	101YP2500X	Professional Counselor	C1568	OR

General Provider Information

NPI Number	:	1538189394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRISTINE ALICE TANDY LPC

Provider Business Mailing Address
First Line	:	2611 SE 28TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97202-1310
Country	:	US
Telephone Number	:	503-866-3479
Fax Number	:	503-232-3484

Provider Business Practice Location Address
First Line	:	12 SE 14TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97214-1404
Country	:	US
Telephone Number	:	503-866-3479
Fax Number	:	503-232-3484

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

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1093661084 — NORA C MURRAY PMHNP
Practice Location Address:

12 SE 14TH AVE # 102
PORTLAND, OR
97214-1404

Practice Phone: 503-917-5672
Practice Fax:

1134076987 — REBECCA KOON
Practice Location Address:

12 SE 14TH AVE # 107
PORTLAND, OR
97214-1404

Practice Phone: 503-482-8230
Practice Fax:

1255539979 — DMITRI DOSAMANTES MA, LMFT
Practice Location Address:

12 SE 14TH AVE
PORTLAND, OR
97214-1404

Practice Phone: 971-284-8492
Practice Fax:

1003126772 — MR. PAUL PATRICK LEE LCSW
Practice Location Address:

12 SE 14TH AVE
PORTLAND, OR
97214-1404

Practice Phone: 503-235-3433
Practice Fax: 503-235-4762

1598038127 — MR. SOVANN DARA PEN L.P.C.
Practice Location Address:

12 SE 14TH AVE , #104
PORTLAND, OR
97214-1404

Practice Phone: 571-207-4718
Practice Fax:

1326571944 — CARRIE HOLLORAN MA, LPC
Practice Location Address:

12 SE 14TH AVE STE 203
PORTLAND, OR
97214-1404

Practice Phone: 503-422-8168
Practice Fax:

Directions to “ MS. CHRISTINE ALICE TANDY LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.