DR. LORELYNN MIRAGE CARDO PHD NPI 1609126952

NPI Information

NPI: 1609126952
Provider Name: DR. LORELYNN MIRAGE CARDO, PHD
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1221 SE MADISON ST
PORTLAND, OR
ZIP 97214
Phone: (503) 445-7767
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DR. Lorelynn Mirage Cardo, PHD is a counselor in Portland, OR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. DR. Lorelynn Mirage Cardo, PHD NPI is 1609126952. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1221 SE MADISON ST
PORTLAND, OR
ZIP 97214-890
Phone: (503) 445-7767

The enumeration date for this NPI number is 9/13/2012 and was last updated on 9/13/2012.

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	174H00000X	Health Educator				No
2	101Y00000X	Counselor		$$$$$$$$$	NEW YORK	Yes

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: 11/14/2023

NPI Synchronization or Removal

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