CAROLYN WATERFALL MS LPC LLC NPI 1083374805

NPI Information

NPI: 1083374805
Provider Name: CAROLYN WATERFALL MS LPC LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
704 MAIN ST STE 305-8
OREGON CITY, OR
ZIP 97045
Phone: (503) 686-3918
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CAROLYN WATERFALL MS LPC LLC is a mental health counselor in Oregon City, OR. CAROLYN WATERFALL MS LPC LLC NPI is 1083374805. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

704 MAIN ST STE 305-8
OREGON CITY, OR
ZIP 97045-704
Phone: (503) 686-3918
Fax: (503) 624-6352

The provider's authorized official is Carolyn Waterfall .
The authorized official title is Owner/counselor and has the following contact phone number (503) 686-3918.

The enumeration date for this NPI number is 12/20/2021 and was last updated on 12/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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