- Practice location
- 12578 SW Broadway St, Beaverton, OR 97005-2136
- Phone
- 503-367-3268
- Fax
- —
- Last updated
- January 18, 2019
Mira Mahendra Cavanaugh is a Counselor, Mental Health based in Beaverton, OR. Mira Mahendra Cavanaugh practices in Beaverton, OR and has the professional credentials of MA, LPC, ATR. The NPI Number for Mira Mahendra Cavanaugh is 1306203344 and holds a License No. C3985 (OR). The current practice location address for Mira Mahendra Cavanaugh is 12578 SW Broadway St, Beaverton, OR 97005-2136 and can be reached out via phone at 503-367-3268.
Provider Profile Details
- NPI Number
- 1306203344
- Provider Name
- Mira Mahendra Cavanaugh
- Credential
- MA, LPC, ATR
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 12578 SW Broadway St, Beaverton, OR 97005-2136
- Phone Number
- 503-367-3268
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 21, 2016
- Last Update Date
- January 18, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12578 SW Broadway St
Beaverton, OR 97005-2136 - City
- Beaverton
- State
- Oregon
- Zip
- 97005-2136
- Phone Number
- 503-367-3268
Provider Business Mailing Address Details
- Address
- 13001 SW 63RD Pl
Portland, OR 97219-8068 - City
- Portland
- State
- OR
- Zip
- 97219-8068
License Information
- License Number
- C3985
- License State
- OR
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Beaverton, OR
View all Counselor, Mental Health providers in Beaverton →- Abigail L Austin, MACounselor, Mental Health · NPI 1366770349
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- Amanda L Barron, LPC ASSOCIATE, LMTCounselor, Mental Health · NPI 1548667504
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Frequently Asked Questions
What is the NPI number of Mira M Cavanaugh, MA, LPC, ATR?
The NPI number of Mira M Cavanaugh, MA, LPC, ATR is 1306203344. It was assigned on January 21, 2016 and is currently active in the NPPES registry.
What is the specialty of Mira M Cavanaugh, MA, LPC, ATR?
Mira M Cavanaugh, MA, LPC, ATR is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in OR under license number C3985.
Where does Mira M Cavanaugh, MA, LPC, ATR practice?
The practice location is 12578 SW Broadway St, Beaverton, OR 97005-2136. The office can be reached at 503-367-3268 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306203344 directly on the NPPES registry website.