Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tara Holly Rayburn, CADCI

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1134584527

Tara Holly Rayburn, CADCI is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2015
Specialties on file
4
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Practice location Address checks out

1722 NW Raleigh St Spc 304
Portland, OR 97209-1752
Phone: (971) 645-0148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Psychologist (primary) Taxonomy 103TA0400X · Licence 15-11-08 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 20-10-06 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence 21-QMHP-R-0664 (OR)
Clinical Social Worker Taxonomy 1041C0700X · Licence SWIA.SC.61162847 (WA)

Record details

NPI number1134584527
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADCI
Sole proprietorYes
NPI enumeratedDecember 29, 2015
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 2021

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