Tara Holly Rayburn
Mental Health Counselor Addiction Counselor (Substance Use Disorder) Addiction Psychologist (Substance Use Disorder) Clinical Social Worker
1722 Nw Raleigh St Spc 304
Portland
, Oregon 97209-1752
Tara Holly Rayburn
Mental Health Counselor Addiction Counselor (Substance Use Disorder) Addiction Psychologist (Substance Use Disorder) Clinical Social Worker
1722 Nw Raleigh St Spc 304
Portland
, Oregon 97209-1752
(503) 325-2153
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Mental Health Counselor
- Addiction Psychologist (Substance Use Disorder)
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Tara Holly Rayburn
- 1722 Nw Raleigh St Spc 304
- Portland, OR
- Zip : 97209-1752
- Fax : (503) 325-2153
- Phone : (503) 325-2067
Second Address
- Tara Holly Rayburn
- 1722 Nw Raleigh St Spc 304
- Portland, OR
- Zip : 97209-1752
- Phone : (971) 645-0148
Reviews
FAQs
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Is Tara Holly Rayburn accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 20-10-06 | OR |
| N | 101YM0800X | Mental Health Counselor | 21-QMHP-R-0664 | OR |
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 15-11-08 | OR |
| N | 1041C0700X | Clinical Social Worker | SWIA.SC.61162847 | WA |
National Provider Identifier
| NPI | 1134584527 |
|---|---|
| Provider Name | Tara Holly Rayburn |
| First Address | Portland, OR 97209-1752 |
| Second Address | Portland, OR 97209-1752 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/12/2015 |
| Last Update Date | 31/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.