Individual
TASHA NICOLE COLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1817 NE 6TH AVE, PORTLAND, OR 97212-3960
(503) 719-7985
Mailing address
4777 SW 11TH ST APT 219, GRESHAM, OR 97080-4305
(503) 516-1469
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
05/05/2022
Last updated
04/25/2023
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