Tara R Vandehey in Portland - Addiction (substance Use Disorder)
Tara R Vandehey - NPI 1558482190
Tara R Vandehey is a Addiction (substance Use Disorder) in Portland, Oregon. Tara R Vandehey practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Tara R Vandehey is 1558482190. The last update date is 2019-09-05.
Tara R Vandehey's current location address is 1027 E Burnside St, Portland, Oregon. You can contact this provider via phone number 5032398400 and fax number 5032398407. The mailing address for Tara R Vandehey is 1027 E Burnside St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara R Vandehey |
|---|---|
| Address | 1027 E Burnside St, Portland, Oregon |
| Phone Number | 5032398400 |
| Fax Number | 5032398407 |
| Sole Proprietor | N |
| Credentials | CADC II/QM |
NPI Number Detail
| NPI Number | 1558482190 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2019-09-05 |
Provider Mailing Address Detail
| Address | 1027 E Burnside St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972141328 |
| Phone Number | 5032398400 |
| Fax Number | 5032398407 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 98-04-77 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500640364 | OR | -- | |
| 500725404 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Tara R Vandehey by the Centers for Medicare & Medicaid Services?
The Tara R Vandehey has been assigned the NPI (National Provider Identifier) 1558482190 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Tara R Vandehey is physically located?
The Tara R Vandehey is physically situated at the following address: 1027 E Burnside St, Portland, OR, 972141328.
What is Tara R Vandehey's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tara R Vandehey is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date did the Tara R Vandehey receive its 1558482190 assignment from the Centers for Medicare & Medicaid Services?
The Tara R Vandehey was assigned its 1558482190 by the Centers for Medicare & Medicaid Services on 2007-04-02.
When was the information related to Tara R Vandehey most recently updated or refreshed?
The details pertaining to the Tara R Vandehey, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-09-05.