TAMARA LYNN MCCOLLUM NPI 1487907648

NPI Information

NPI: 1487907648
Provider Name: TAMARA LYNN MCCOLLUM
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2415 SE 43RD AVE
SUITE 100
PORTLAND, OR
ZIP 97206
Phone: (503) 238-0705
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Tamara Lynn Mccollum is an addiction (substance use disorder) counselor in Portland, OR. Tamara Lynn Mccollum NPI is 1487907648. 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:

2415 SE 43RD AVE
SUITE 100
PORTLAND, OR
ZIP 97206-600
Phone: (503) 238-0705

The enumeration date for this NPI number is 10/24/2012 and was last updated on 10/24/2012.

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	171M00000X	Case Manager/Care Coordinator				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

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

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