Mr. Tanner Harry Calvin Holton IV
Mr. Tanner Harry Calvin Holton IV is a Peer Specialist in Bend, Oregon. Licensed in Oregon. Registered with an NPI since 2018.
- Licensed in
- OR
- In the registry since
- 2018
Practice location Address checks out
1128 NW Harriman StBend, OR 97703-1947
Phone: (541) 322-7500
Fax: (541) 322-7565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (OR) |
|---|
Record details
| NPI number | 1083117287 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 14, 2018 |
| Last updated in NPPES | March 14, 2018 |
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