Shaun Tanner

NPI 1013892538 · on the registry since 2025

Practice

Address: 12183 Locksley Ln Ste 100
Auburn, CA 95602
Phone: (360) 723-8248
Organisation at this address: Eagle Recovery Programs
Granite Wellness Centers
Sierra Foothills Aids Foundation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 41

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California