Crystal Tanner, is a
Licensed Practical Nurse based in Redmond, Oregon. Crystal Tanner is licensed to practice in Oregon (license number 201130008LPN) and her current practice location is
340 Nw 5th St, Redmond, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 516-4087.
NPI number for Crystal Tanner is 1841936531 and her current mailing address is Po Box 1710, Redmond, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841936531.
Healthcare Provider's Profile
Full Name | Crystal Tanner |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 340 Nw 5th St, Redmond, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841936531
- Provider Enumeration Date: 05/06/2022
- Last Update Date: 04/25/2025
Medical Identifiers
Medical identifiers for Crystal Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841936531 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | T-22-1608 (Oregon) | Secondary |
225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
164W00000X | Licensed Practical Nurse | 201130008LPN (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Tanner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Crystal Tanner, Po Box 1710, Redmond, OR 97756-0516 Ph: (541) 516-4087 | Crystal Tanner, 340 Nw 5th St, Redmond, OR 97756-1869 Ph: (541) 516-4087 |
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