Individual provider · Type 1 NPI

Tara R. Vandehey, CADC II/QMHP

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1558482190 Active

Practice location

1030 NE Couch St
Portland, OR 97232-3067

Call (503) 239-8400 Map

Fax (503) 239-8407

Mailing address

1027 E Burnside St
Portland, OR 97214-1328

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X98-04-77 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1558482190

Tara R. Vandehey, CADC II/QMHP's National Provider Identifier is 1558482190, issued on Apr 2, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Sep 5, 2019.