Individual ProviderDaniel Allen TannerCounselorBehavioral Health & Social Service ProvidersPractice Address1021 W 9th St, The Dalles, OR 97058-1007(541) 298-1920(541) 858-8170PECOS EnrollmentBased on the most recent information from CMS, provider Daniel Allen Tanner does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1902554785Provider TypeIndividualFull NameTanner, Daniel AllenGenderMaleSole ProprietorNoEnumeration Date3/11/2022Last Updated3/11/2022Contact InformationPractice LocationPractice Address1021 W 9th St, The Dalles, OR 97058-1007Phone(541) 298-1920Fax(541) 298-1917Mailing LocationMailing Address3587 Heathrow Way, Medford, OR 97504-4004Phone(541) 858-8170Fax(541) 858-8167Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer