Corbin, Carmen Tara

Corbin, Carmen Tara is an individual health care provider with primary practice located at 131 Ne 102Nd Ave , Portland OR 97220-4167. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Corbin, Carmen Tara can be contacted via phone (503) 253-6754.

Contact Information

Primary practice address
131 Ne 102Nd Ave Portland OR 97220-4167
Phone: (503) 253-6754
Fax: (503) 253-8020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 05-07-11 Oregon
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1245376730
LBN Legal business name Corbin, Carmen Tara
Credentials QMHA, CADC I
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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