De Tarr, Susan

De Tarr, Susan is an individual health care provider with primary practice located at 2225 Pacific Blvd Se Ste 101 , Albany OR 97321-7903. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. De Tarr, Susan can be contacted via phone (503) 655-8264.

Contact Information

Primary practice address
2225 Pacific Blvd Se Ste 101 Albany OR 97321-7903
Phone: (503) 655-8264
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X L5953 Oregon

Profile Details

NPI number 1104006725
LBN Legal business name De Tarr, Susan
Credentials M.S.W., CADC 1
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2007
Last updated Aug 16th, 2023 - about last year

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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