Provider Demographics
NPI:1043417900
Name:TARVIN, KAREN (MA, CADC I)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:TARVIN
Suffix:
Gender:F
Credentials:MA, CADC I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11895 SW GREENBURG RD
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-6450
Mailing Address - Country:US
Mailing Address - Phone:503-726-3726
Mailing Address - Fax:503-726-3727
Practice Address - Street 1:11895 SW GREENBURG RD
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-6450
Practice Address - Country:US
Practice Address - Phone:503-726-3726
Practice Address - Fax:503-726-3727
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health