TAYAS YAWKS
NPI 1538812458
Peer Specialist in Klamath Falls, OR

Q: What is Tayas Yawks's NPI number?

The NPI number for Tayas Yawks is 1538812458. It was assigned to this organization in the NPPES registry on January 31, 2022. The provider was formerly known as Klamath Full Gospel Church.

Q: What is Tayas Yawks's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tayas Yawks was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 31, 2022

3206 ONYX AVE, KLAMATH FALLS, OR 97603(541) 891-0194 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tayas Yawks NPPES

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

TAYAS YAWKS (NPI 1538812458), doing business as Klamath Full Gospel Church, is a healthcare organization registered as a peer specialist in Klamath Falls, Oregon and active in the NPI registry since January 2022. The organization lists Tammy Mae Anderson, Co-director, as its authorized official.

NPPES Registry Identity

NPI1538812458

Entity TypeOrganization

Primary Taxonomy175T00000X

Legal Business NameTAYAS YAWKS

Location Address3206 ONYX AVEKlamath Falls, OR 97603-7279

Mailing Address3206 Onyx AveKlamath Falls, OR 97603-7279 · (541) 891-0194

Phone(541) 891-0194

Organization SubpartNo

Authorized OfficialTammy Mae AndersonCo-director · (541) 891-0194

Enumeration DateJanuary 31, 2022

Last NPPES UpdateFebruary 13, 2024

NPPES CertifiedJanuary 31, 2022

✔ NPI 1538812458 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.

3206 ONYX AVE, Klamath Falls, OR 97603

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Other Names 2

Other NameTayas Yawks

Former Legal Business NameKlamath Full Gospel Church

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

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