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KIMBERLY TABOR
NPI 1699286369
Counselor - Addiction (Substance Use Disorder) in Roseburg, OR

Active since October 20, 2017
621 W MADRONE ST, ROSEBURG, OR 97470(541) 492-0241(541) 492-0241 Get Directions Write a Review

NPPES record last updated: October 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Tabor NPPES

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

KIMBERLY TABOR (NPI 1699286369) is an individual addiction (substance use disorder) provider in Roseburg, Oregon, licensed in Oregon (17-P-14) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1699286369
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKIMBERLY TABOR
Location Address621 W MADRONE STRoseburg, OR 97470-3090
Mailing AddressPo Box 1121Roseburg, OR 97470-0254
Phone(541) 492-0241
Fax(541) 492-0241
Sole ProprietorNo
Enumeration DateOctober 20, 2017
✔ NPI 1699286369 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 OR · 17-P-14
621 W MADRONE ST, Roseburg, OR 97470
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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.

WILLIAM F SHOBE JR. LMFT
Marriage & Family Therapist
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 492-4550
HEATHER IRENE JOHNSON MSW
Social Worker
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
URIAH HEATH YRAGUEN
Peer Specialist
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
MR. DALE EDWARD WILLIAMS MC, LPC
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
EMILY TUCKER LPC NCC
Counselor (Professional)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
INGER C BOYD MA ED., BS
Counselor
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
MAE L HOOPES
Counselor (Addiction (Substance Use Disorder))
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
JENNIFER DIANE LOWRY
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532

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 Kimberly Tabor's NPI number?

The NPI number for Kimberly Tabor is 1699286369. It was assigned to this individual provider in the NPPES registry on October 20, 2017.

Where is Kimberly Tabor located?

Kimberly Tabor practices at 621 W Madrone St, Roseburg, OR 97470. The listed phone number is (541) 492-0241.

What is Kimberly Tabor'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 Kimberly Tabor was last updated on October 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.