Individual provider · Type 1 NPI

Tara Holly Rayburn, CADCI

Addiction (Substance Use Disorder) Psychologist · Portland, OR

NPI number 1134584527 Active

Practice location

1722 NW Raleigh St Spc 304
Portland, OR 97209-1752

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X20-10-06 (OR)
Mental Health Counselor 101YM0800X21-QMHP-R-0664 (OR)
Clinical Social Worker 1041C0700XSWIA.SC.61162847 (WA)
Addiction (Substance Use Disorder) Psychologist Primary 103TA0400X15-11-08 (OR)

Addiction (Substance Use Disorder) Psychologist: 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 behav…

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About NPI 1134584527

Tara Holly Rayburn, CADCI's National Provider Identifier is 1134584527, issued on Dec 29, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Psychologist (103TA0400X), and the practice location is in Portland, OR. The record was last updated on Aug 31, 2021.