Provider Demographics
NPI:1669713723
Name:TCM & ASSOCIATES INC
Entity type:Organization
Organization Name:TCM & ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:TANEOUS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:503-928-9688
Mailing Address - Street 1:PO BOX 1607
Mailing Address - Street 2:N/A
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97075-1607
Mailing Address - Country:US
Mailing Address - Phone:503-928-9688
Mailing Address - Fax:
Practice Address - Street 1:7110 SW 140TH PL
Practice Address - Street 2:N/A
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-5556
Practice Address - Country:US
Practice Address - Phone:503-928-9688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-13
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200241060163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Single Specialty