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TAMARA HARTGROVE SUDP
NPI 1194217984
Counselor - Addiction (Substance Use Disorder) in Kelso, WA

Active since June 06, 2018
305 PACIFIC AVE S STE 102, KELSO, WA 98626(360) 423-0203(360) 423-5086 Get Directions Write a Review

NPPES record last updated: November 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tamara Hartgrove Sudp NPPES

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

TAMARA HARTGROVE SUDP (NPI 1194217984) is an individual addiction (substance use disorder) provider in Kelso, Washington, licensed in Washington (00000631) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1194217984
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTAMARA HARTGROVECredential: SUDP
Location Address305 PACIFIC AVE S STE 102Kelso, WA 98626-1638
Mailing AddressPo Box 1847Longview, WA 98632-8140 · (360) 423-0203 · Fax (360) 577-0269
Phone(360) 423-0203
Fax(360) 423-5086
Sole ProprietorNo
Enumeration DateJune 6, 2018
Last NPPES UpdateNovember 22, 2019
✔ NPI 1194217984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · 00000631
305 PACIFIC AVE S STE 102, Kelso, WA 98626
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Other Names 1

Former Name (1)Tamara Anderson

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIEL JONES
Counselor (Addiction (Substance Use Disorder))
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 577-7442
SAVANNAH E ANDREWS
Student in an Organized Health Care Education/Training Program
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 423-0203
KENNETH CASE CDPT
Counselor (Addiction (Substance Use Disorder))
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 577-7442
CATHY LUDAHL CDP
Counselor (Addiction (Substance Use Disorder))
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 577-7442
CRYSTAL WINK
Student in an Organized Health Care Education/Training Program
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 423-0203
MR. PAUL TRAVIS KERN CDAC
Counselor (Addiction (Substance Use Disorder))
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 577-7442
MR. JAMES ANTHONY LAPORTA CDPT
Counselor (Addiction (Substance Use Disorder))
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 577-7442
KATLYNN FEAGANS
Social Worker (Clinical)
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 423-0203

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 Tamara Hartgrove's NPI number?

The NPI number for Tamara Hartgrove is 1194217984. It was assigned to this individual provider in the NPPES registry on June 6, 2018. The provider is also known as Tamara Anderson.

Where is Tamara Hartgrove located?

Tamara Hartgrove practices at 305 Pacific Ave S Ste 102, Kelso, WA 98626. The listed phone number is (360) 423-0203.

What is Tamara Hartgrove's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tamara Hartgrove was last updated on November 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.