NPI 1003782889
Tabitha Untalan
Practice location
- Address
- 1525 N Humboldt St Unit 101, Portland, OR 97217-3673
- Phone
- (360) 936-7857
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003782889
- Entity type
- Individual
- Sex (as registered)
- X
- NPI issued
- 16 Oct 2025
- Record last updated
- 16 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.