Search › Washington › 1041C0700X
Tahtanka Bear Eagle, MSW, LICSW
NPI 1215483821 · on the registry since 2016
Practice
- Address
- 840 E Plum St
Moses Lake, WA 98837 - Phone
- (509) 765-9239
- Fax
- (509) 633-2148
- Organisation at this address
- County Of Grant
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 188
Additional practice sites
- 21 Colville St, Nespelem, WA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-07
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 Washington