Provider Demographics
NPI:1578138889
Name:TUEL, KARLA M
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:M
Last Name:TUEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 NW 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:ESTACADA
Mailing Address - State:OR
Mailing Address - Zip Code:97023-7713
Mailing Address - Country:US
Mailing Address - Phone:503-395-0435
Mailing Address - Fax:
Practice Address - Street 1:380 NW 6TH AVE
Practice Address - Street 2:
Practice Address - City:ESTACADA
Practice Address - State:OR
Practice Address - Zip Code:97023-7713
Practice Address - Country:US
Practice Address - Phone:503-395-0435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-20
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
OR93-0844063101YA0400X
ORT-21-818101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)