Lookup NPI Numbers from the NPI Registry
NPI Profile for TARA H RAYBURN in PORTLAND, OR.
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Mental Health |
101YM0800X |
| NPI # | 1134584527 |
|
| Status | Active | |
| Credentials | CADCI | |
| Entity | Individual | |
| Enumeration date | 12/29/2015 | |
| Last updated | 08/31/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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TARA H RAYBURN
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TARA H RAYBURN, CADCI