Individual
MS. LOIS MARIE TARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 231-2641
(503) 231-1654
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 231-2641
(503) 231-1654
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11-09-62
OR
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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