Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tanya Rose Fountain

Individual provider Clinical Social Worker · NPI 1235338559

Tanya Rose Fountain is a Clinical Social Worker in Salem, Oregon. Qualified in 2001, 25 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
25
Licensed in
OR
In the registry since
2007
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Practice location Address checks out

780 Commercial St SE Ste 201
Salem, OR 97301-3463
Phone: (971) 599-3881
Fax: (503) 300-2848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 821 Saginaw St S, Salem, OR 97302-4121 — (503) 315-8646

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L11657 (OR)

Record details

NPI number1235338559
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 16, 2007
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Salem