Individual provider · Type 1 NPI
Tara Holly Rayburn, CADCI
Addiction (Substance Use Disorder) Psychologist · Portland, OR
Practice location
1722 NW Raleigh St Spc 304
Portland, OR 97209-1752
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 20-10-06 (OR) |
| Mental Health Counselor | 101YM0800X | 21-QMHP-R-0664 (OR) |
| Clinical Social Worker | 1041C0700X | SWIA.SC.61162847 (WA) |
| Addiction (Substance Use Disorder) Psychologist Primary | 103TA0400X | 15-11-08 (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…
Other addiction (substance use disorder) psychologist providers in Portland
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.