TARA LYNN MINASSIAN
NPI 1790025336
Social Worker in Portland, OR

Q: What is Tara Minassian's NPI number?

The NPI number for Tara Minassian is 1790025336. It was assigned to this individual provider in the NPPES registry on February 19, 2013.

Q: What is Tara Minassian's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Minassian was last updated on February 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 19, 2013PECOS Enrolled

33 NW BROADWAY, PORTLAND, OR 97209(503) 228-7134 Get Directions Write a Review

NPPES record last updated: February 19, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tara Lynn Minassian NPPES

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

TARA LYNN MINASSIAN (NPI 1790025336) is an individual social worker in Portland, Oregon and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790025336

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameTARA LYNN MINASSIAN

Location Address33 NW BROADWAYPortland, OR 97209-3580

Mailing Address232 Nw 6th AvePortland, OR 97209-3609

Phone(503) 228-7134

Sole ProprietorNo

Enumeration DateFebruary 19, 2013

✔ NPI 1790025336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

33 NW BROADWAY, Portland, OR 97209

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Lynn Minassian is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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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.

JEFFREY M MOORE LPC, CADC I

Counselor (Mental Health)