Provider Demographics
NPI:1225687106
Name:FRANKLIN-STAPF, TAUNYA (PMHNP)
Entity type:Individual
Prefix:
First Name:TAUNYA
Middle Name:
Last Name:FRANKLIN-STAPF
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:TAUNYA
Other - Middle Name:
Other - Last Name:FRANKLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1776 SW MADISON ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-1715
Mailing Address - Country:US
Mailing Address - Phone:503-224-1044
Mailing Address - Fax:503-621-2235
Practice Address - Street 1:703 NE HANCOCK ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97212-3955
Practice Address - Country:US
Practice Address - Phone:503-548-0346
Practice Address - Fax:503-232-5959
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ254811163W00000X, 363LP0808X
CO1685309163W00000X
CA95135243163W00000X
IA155786163W00000X
WARN60753236163W00000X
OR202207467RN163W00000X
IAG155786363LP0808X
WAAP61138941363LP0808X
OR202207618NP-PP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500828160Medicaid