CARLA JEAN HERB CADC QMHA NPI 1154622876

NPI Information

NPI: 1154622876
Provider Name: CARLA JEAN HERB, CADC, QMHA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
11970 SW GREENBURG RD
TIGARD, OR
ZIP 97223
Phone: (503) 624-8304
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Carla Jean Herb, CADC, QMHA is an addiction (substance use disorder) counselor in Tigard, OR. Carla Jean Herb, CADC, QMHA NPI is 1154622876. 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:

11970 SW GREENBURG RD
TIGARD, OR
ZIP 97223-453
Phone: (503) 624-8304

The enumeration date for this NPI number is 11/11/2010 and was last updated on 9/25/2023.

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	Primary
1	101YS0200X	Counselor	School	No
2	171M00000X	Case Manager/Care Coordinator		No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	195164	MEDICAID	OREGON

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: 4/28/2024

NPI Synchronization or Removal

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