TARA HOLLY RAYBURN CADCI
NPI 1134584527
Psychologist - Addiction (Substance Use Disorder) in Portland, OR

Q: What is Tara Rayburn's NPI number?

The NPI number for Tara Rayburn is 1134584527. It was assigned to this individual provider in the NPPES registry on December 29, 2015.

Q: What is Tara Rayburn's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Q: When was this NPI record last updated?

The NPPES record for Tara Rayburn was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 29, 2015

1722 NW RALEIGH ST SPC 304, PORTLAND, OR 97209(971) 645-0148 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tara Holly Rayburn Cadci NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA HOLLY RAYBURN CADCI (NPI 1134584527) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (15-11-08) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1134584527

Entity TypeIndividualFemale

Primary Taxonomy103TA0400X

Provider Legal NameTARA HOLLY RAYBURNCredential: CADCI

Location Address1722 NW RALEIGH ST SPC 304Portland, OR 97209-1752

Mailing Address1722 Nw Raleigh St Spc 304Portland, OR 97209-1752 · (503) 325-2067 · Fax (503) 325-2153

Phone(971) 645-0148

Sole ProprietorYes

Enumeration DateDecember 29, 2015

Last NPPES UpdateAugust 31, 2021

NPPES CertifiedAugust 31, 2021

✔ NPI 1134584527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code103TA0400X

License✔ Licensed in OR · 15-11-08

Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 20-10-06 (OR)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 21-QMHP-R-0664 (OR)

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License SWIA.SC.61162847 (WA)

1722 NW RALEIGH ST SPC 304, Portland, OR 97209

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Rayburn's NPI number?

The NPI number for Tara Rayburn is 1134584527. It was assigned to this individual provider in the NPPES registry on December 29, 2015.

Where is Tara Rayburn located?

Tara Rayburn practices at 1722 NW Raleigh St Spc 304, Portland, OR 97209. The listed phone number is (971) 645-0148.

What is Tara Rayburn's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for Tara Rayburn was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.