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CAROLINE B KAVANAGH
NPI 1255807558
Counselor - Mental Health in Portland, OR

Active since October 15, 2018
17720 NE HALSEY ST STE A, PORTLAND, OR 97230(503) 654-7654(503) 654-7333 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2021, May 10, 2021, Oct 15, 2018 (3 updates tracked since 2018).

About Caroline B Kavanagh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINE B KAVANAGH (NPI 1255807558) is an individual mental health provider in Portland, Oregon and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1255807558
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCAROLINE B KAVANAGH
Location Address17720 NE HALSEY ST STE APortland, OR 97230-6771
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Phone(503) 654-7654
Fax(503) 654-7333
Sole ProprietorNo
Enumeration DateOctober 15, 2018
Last NPPES UpdateAugust 18, 20213 updates tracked since enumeration
NPPES CertifiedAugust 18, 2021
✔ NPI 1255807558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
17720 NE HALSEY ST STE A, Portland, OR 97230
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRYSTAL VELAZQUEZ
Counselor (Mental Health)
17720 NE HALSEY ST STE A
PORTLAND, OR 97230
Multnomah County (503) 654-7654
BEVERLY ANN PETERSON
Counselor (Mental Health)
17720 NE HALSEY ST STE A
PORTLAND, OR 97230
Multnomah County (503) 654-7654
RENEE PARROTT
Counselor (Mental Health)
17720 NE HALSEY ST STE A
PORTLAND, OR 97230
Multnomah County (503) 654-7654
D'ARICK D DULIN
Counselor (Mental Health)
17720 NE HALSEY ST STE A
PORTLAND, OR 97230
Multnomah County (503) 654-7654
KYLE SCHRIFT
Counselor (Mental Health)
17720 NE HALSEY ST STE A
PORTLAND, OR 97230
Multnomah County (503) 654-7654
NYBELLE CARUSO
Social Worker (Clinical)
17720 NE HALSEY ST STE A
PORTLAND, OR 97230
Multnomah County (503) 654-7654
PHILIP ARTHUR LUCHT
Counselor (Mental Health)
17720 NE HALSEY ST STE A
PORTLAND, OR 97230
Multnomah County (503) 654-7654
MEAGAN TANK
Counselor (Mental Health)
17720 NE HALSEY ST STE A
PORTLAND, OR 97230
Multnomah County (503) 654-7654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caroline Kavanagh's NPI number?

The NPI number for Caroline Kavanagh is 1255807558. It was assigned to this individual provider in the NPPES registry on October 15, 2018.

Where is Caroline Kavanagh located?

Caroline Kavanagh practices at 17720 NE Halsey St Ste A, Portland, OR 97230. The listed phone number is (503) 654-7654.

What is Caroline Kavanagh's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Caroline Kavanagh was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.