Individual provider · Type 1 NPI

Kimberly Tabor

Addiction (Substance Use Disorder) Counselor · Roseburg, OR

NPI number 1699286369 Active

Practice location

621 W Madrone St
Roseburg, OR 97470-3090

Call (541) 492-0241 Map

Fax (541) 492-0241

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17-P-14 (OR)

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

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About NPI 1699286369

Kimberly Tabor's National Provider Identifier is 1699286369, issued on Oct 20, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseburg, OR. The record was last updated on Oct 20, 2017.