Tanner William Souza
Tanner William Souza is a Physical Therapist in Private Practice in Vancouver, Washington. Licensed in Oregon. Registered with an NPI since 2026.
- Licensed in
- OR
- In the registry since
- 2026
Practice location Address checks out
15401 NE 106th StVancouver, WA 98682-3086
Phone: (775) 781-7093
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 66113 (OR) |
|---|
Record details
| NPI number | 1689505349 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 28, 2026 |
| Last updated in NPPES | May 28, 2026 |
| Certification date | May 28, 2026 |
| Mailing address | 15401 Ne 106th St, Vancouver, WA 98682-3086 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2026 (0 years in practice) |
| Accepts Medicare assignment | Not indicated |
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