Tara Ann Lawhorn, CRM/PWS/QMHA-R is a 
Peer Specialist based in Gresham, Oregon. Tara Ann Lawhorn is licensed to practice in Oregon (license number 109388) and her current practice location is 
620 Ne 2nd St, Gresham, Oregon. She can be reached at her office (for appointments etc.) via phone at 
(503) 548-0346.
NPI number for Tara Ann Lawhorn is 1134996333 and her current mailing address is 211 Se Caruthers St, Portland, Oregon. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134996333.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Tara Ann Lawhorn | 
|---|
| Gender | Female | 
|---|
| Speciality | Peer Specialist | 
|---|
| Location | 620 Ne 2nd St, Gresham, Oregon | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1134996333
 - Provider Enumeration Date: 12/07/2023
 - Last Update Date: 06/03/2025
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Tara Ann Lawhorn such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1134996333 | NPI | - | NPPES | 
| 500841484 | Medicaid | OR |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 101YM0800X | Counselor - Mental Health  | 25-QMHA-R-7021 (Oregon) | Secondary | 
| 101YM0800X | Counselor - Mental Health  | 23-CRM-2068 (Oregon) | Secondary | 
| 175T00000X | Peer Specialist  | 109388 (Oregon) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tara Ann Lawhorn is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Tara Ann Lawhorn, CRM/PWS/QMHA-R 211 Se Caruthers St, Portland, OR 97214-4502 Ph: (503) 224-1044 | Tara Ann Lawhorn, CRM/PWS/QMHA-R 620 Ne 2nd St, Gresham, OR 97030-7514 Ph: (503) 548-0346 | 
		
		 
Reviews and Comments