IndividualActive
Tara Rayburn, CADCI
NPI 1134584527 · Addiction (Substance Use Disorder) Psychologist · Portland, OR
Provider details
- NPI number
- 1134584527
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) PsychologistBehavioral Health & Social Service Providers
- Credential
- CADCI
- Sex
- Female
- Sole proprietor
- Yes
- License
- 20-10-06 (OR)
Practice location
1722 Nw Raleigh St Spc 304
Portland, OR 97209-1752
Phone: (971) 645-0148
Mailing address
1722 Nw Raleigh St Spc 304
Portland, OR 97209-1752
Registry dates
- Enumerated
- 2015-12-29
- Last updated
- 2021-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.