TARA HOLLY RAYBURN CADCI NPI 1134584527

NPI Information

NPI: 1134584527
Provider Name: TARA HOLLY RAYBURN, CADCI
Classification: Psychologist - 103TA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1722 NW RALEIGH ST SPC 304
PORTLAND, OR
ZIP 97209
Phone: (971) 645-0148
Get Directions

Tara Holly Rayburn, CADCI is an addiction (substance use disorder) psychologist in Portland, OR. The provider is 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. Tara Holly Rayburn, CADCI NPI is 1134584527. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1722 NW RALEIGH ST SPC 304
PORTLAND, OR
ZIP 97209-752
Phone: (971) 645-0148

The enumeration date for this NPI number is 12/29/2015 and was last updated on 8/31/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	20-10-06	OREGON	No
2	101YM0800X	Counselor	Mental Health	21-QMHP-R-0664	OREGON	No
3	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	15-11-08	OREGON	Yes
4	1041C0700X	Social Worker	Clinical	SWIA.SC.61162847	WASHINGTON	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »