Provider Demographics
NPI:1144637141
Name:TACHO, JOEL AKON (CNA, STNA, HD, OIS)
Entity type:Individual
Prefix:
First Name:JOEL AKON
Middle Name:
Last Name:TACHO
Suffix:
Gender:M
Credentials:CNA, STNA, HD, OIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18188 NW WALKER RD APT C
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-8625
Mailing Address - Country:US
Mailing Address - Phone:513-208-3850
Mailing Address - Fax:
Practice Address - Street 1:18188 NW WALKER RD
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-8625
Practice Address - Country:US
Practice Address - Phone:513-208-3850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-22
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401575151013103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities