IndividualActive
Tara Gantz
NPI 1780041533 · Mental Health Counselor · Milwaukie, OR
Provider details
- NPI number
- 1780041533
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
13850 Se Autumn Ridge Ter
Milwaukie, OR 97267-2150
Phone: (503) 974-9250
Fax: (503) 974-9586
Approximate (ZIP-level) locationGet directions
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Registry dates
- Enumerated
- 2016-01-25
- Last updated
- 2018-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.