Mahoney, Tara
Mahoney, Tara is an sole proprietor health care provider with primary practice located at 920 Sw Frazer Ave , Pendleton OR 97801-2800. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mahoney, Tara can be contacted via phone (541) 276-1022.Contact Information
Primary practice address
920 Sw Frazer Ave
Pendleton OR 97801-2800
Phone: (541) 276-1022
Fax: (541) 215-1021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 00-11-47 | Oregon |
Profile Details
| NPI number | 1073987046 |
|---|---|
| LBN Legal business name | Mahoney, Tara |
| Credentials | CADC II |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2015 |
| Last updated | Nov 13th, 2015 - about 10 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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