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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AJ OLIVER TEDTAOTAO
NPI 1336871359
Counselor - Mental Health in Springfield, OR

Active since June 28, 2022
3995 MARCOLA RD, SPRINGFIELD, OR 97477(541) 726-1465(541) 726-5085 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 6, 2026, Jan 10, 2025 (2 updates tracked since 2025).

About Aj Oliver Tedtaotao NPPES

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

AJ OLIVER TEDTAOTAO (NPI 1336871359) is an individual mental health provider in Springfield, Oregon and active in the NPI registry since June 2022. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336871359
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameAJ OLIVER TEDTAOTAO
Location Address3995 MARCOLA RDSpringfield, OR 97477-7948
Mailing Address3995 Marcola RdSpringfield, OR 97477-7948 · (541) 726-1465 · Fax (541) 726-5085
Phone(541) 726-1465
Fax(541) 726-5085
Sole ProprietorNo
Enumeration DateJune 28, 2022
Last NPPES UpdateOctober 6, 20262 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1336871359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
3995 MARCOLA RD, Springfield, OR 97477
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Secondary Practice Locations 2

Location 178 Centennial Loop Ste AEugene, OR 97401-7900 · Phone (541) 393-0777
Location 22149 Centennial Plz Ste 4Eugene, OR 97401-2456 · Phone (541) 741-7107

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.

DAWN EDWARDS
Counselor (Mental Health)
3995 MARCOLA RD
SPRINGFIELD, OR 97477
Lane County (541) 726-1465
ADRIANA CONN BS
Behavior Technician
3995 MARCOLA RD
SPRINGFIELD, OR 97477
Lane County (541) 726-1465
DAVID MURRAY
Counselor (Mental Health)
3995 MARCOLA RD
SPRINGFIELD, OR 97477
Lane County (541) 726-1465
CALLAY QUINN BOIRE-SHEDD
Counselor (Mental Health)
3995 MARCOLA RD
SPRINGFIELD, OR 97477
Lane County (541) 726-1465
LESLIE ANN PRIETO
Counselor (Mental Health)
3995 MARCOLA RD
SPRINGFIELD, OR 97477
Lane County (541) 726-1465
THE CHILD CENTER
Community/Behavioral Health
3995 MARCOLA RD
SPRINGFIELD, OR 97477
Lane County (541) 726-1465
TAYLOR LYN SORENSEN
Counselor (Mental Health)
3995 MARCOLA RD
SPRINGFIELD, OR 97477
Lane County (541) 726-1465
EMILY SUZANNE OAKLAND
Counselor (Mental Health)
3995 MARCOLA RD
SPRINGFIELD, OR 97477
Lane County (541) 726-1465

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 Aj Tedtaotao's NPI number?

The NPI number for Aj Tedtaotao is 1336871359. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Where is Aj Tedtaotao located?

Aj Tedtaotao practices at 3995 Marcola Rd, Springfield, OR 97477. The listed phone number is (541) 726-1465.

What is Aj Tedtaotao's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Aj Tedtaotao was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.