Herb, Carla Jean

Herb, Carla Jean is an individual health care provider with primary practice located at 11970 Sw Greenburg Rd , Tigard OR 97223-6453. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Herb, Carla Jean can be contacted via phone (503) 624-8304.

Contact Information

Primary practice address
11970 Sw Greenburg Rd Tigard OR 97223-6453
Phone: (503) 624-8304
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1154622876
LBN Legal business name Herb, Carla Jean
Credentials CADC, QMHA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2010
Last updated Sep 25th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154622876 NPPES
Oregon MEDICAID 195164

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