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MR. TANNER HARRY CALVIN HOLTON IV
NPI 1083117287
Peer Specialist in Bend, OR

Active since March 14, 2018
1128 NW HARRIMAN ST, BEND, OR 97703(541) 322-7500(541) 322-7565 Get Directions Write a Review

NPPES record last updated: March 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Tanner Harry Calvin Holton Iv NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TANNER HARRY CALVIN HOLTON IV (NPI 1083117287) is an individual peer specialist in Bend, Oregon and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1083117287
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. TANNER HARRY CALVIN HOLTON IV
Location Address1128 NW HARRIMAN STBend, OR 97703-1947
Mailing Address2577 Ne Courtney DrBend, OR 97701-7638 · (541) 322-7500 · Fax (541) 322-7565
Phone(541) 322-7500
Fax(541) 322-7565
Sole ProprietorNo
Enumeration DateMarch 14, 2018
✔ NPI 1083117287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1128 NW HARRIMAN ST, Bend, OR 97703
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEREK WEAVER
Peer Specialist
1128 NW HARRIMAN ST
BEND, OR 97703
Deschutes County (541) 330-4638
DANI WALKER-NOVI LMSW
Social Worker (Clinical)
1128 NW HARRIMAN ST
BEND, OR 97703
Deschutes County (541) 322-7662
LINDSEY LEE HURTADO
Nurse Practitioner (Psychiatric/Mental Health)
1128 NW HARRIMAN ST
BEND, OR 97703
Deschutes County (541) 322-7500
LAUREL ANISE NAYLOR
Social Worker (Clinical)
1128 NW HARRIMAN ST
BEND, OR 97703
Deschutes County (541) 322-7500
EUNICE ALLISON-QUICK
Registered Nurse (Psychiatric/Mental Health)
1128 NW HARRIMAN ST
BEND, OR 97703
Deschutes County (541) 322-7500
BRIAN FULMER
Psychiatry & Neurology (Psychiatry)
1128 NW HARRIMAN ST
BEND, OR 97703
Deschutes County (541) 322-7500
TYLER SHANLEY
Counselor (Mental Health)
1128 NW HARRIMAN ST
BEND, OR 97703
Deschutes County (541) 322-7500
SCOTT EDWARD JONES
Case Manager/Care Coordinator
1128 NW HARRIMAN ST
BEND, OR 97703
Deschutes County (541) 322-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanner Holton's NPI number?

The NPI number for Tanner Holton is 1083117287. It was assigned to this individual provider in the NPPES registry on March 14, 2018.

Where is Tanner Holton located?

Tanner Holton practices at 1128 NW Harriman St, Bend, OR 97703. The listed phone number is (541) 322-7500.

What is Tanner Holton's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Tanner Holton was last updated on March 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.