TARA PADDOCK

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1073924791

Practice Address

182 SW ACADEMY ST
Dallas, OR 97338

Phone: (503) 632-9289

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes 15-11-07 (OR)
Counselor 101Y00000X No -

Frequently Asked Questions

NPI 1073924791 is the National Provider Identifier for TARA PADDOCK, a Counselor - Addiction (Substance Use Disorder) provider located in Dallas, OR. This NPI was enumerated on May 15, 2014.
TARA PADDOCK practices at 182 SW ACADEMY ST, Dallas, OR 97338.

Quick Facts

NPI
1073924791
Type
Individual
Enumerated
May 15, 2014
Last Updated
Oct 22, 2024

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