Individual
CARMEN TARA CORBIN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA, CADC I
Contact information
Practice address
131 NE 102ND AVE, PORTLAND, OR 97220-4167
(503) 253-6754
(503) 253-8020
Mailing address
8351 N JOHNSWOOD DR, PORTLAND, OR 97203-1169
(503) 432-8885
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
05-07-11
OR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
09/11/2025
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