Doctor Name: | KAREN TARVIN |
NPI Number: | 1043417900 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CADC I |
License Number: | |
Business Practice Address: | 11895 Sw Greenburg Rd Tigard, OR - 972236450 |
Business Phone Number: | 5037263726 |
Business Fax Number: | 5037263727 |
Mailing Address: | 11895 Sw Greenburg Rd, TIGARD |
State: | OR |
Postal Code: | 972236450 |
Phone Number: | 5037263726 |
Fax Number: | 5037263727 |
NPI Enumeration Date: | 07/02/2007 |
NPI Last Update Date: | 08/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |