Individual
CARLA JEAN HERB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC, QMHA
Contact information
Practice address
11970 SW GREENBURG RD, TIGARD, OR 97223-6453
(503) 624-8304
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195164
—
OR
Enumeration date
11/11/2010
Last updated
09/25/2023
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