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Tara Rayburn, CADCI

NPI 1134584527 · on the registry since 2015 · sole proprietor

Practice

Address
1722 Nw Raleigh St Spc 304
Portland, OR 97209
Phone
(971) 645-0148

Registry record

Primary taxonomy
103TA0400X
103TA0400X
Also registered as
101YA0400X
101YM0800X
1041C0700X
Licence states on file
OR, WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-08-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon