Organization · Type 2 NPI

Carolyn Waterfall MS LPC LLC

Mental Health Counselor · Oregon City, OR

NPI number 1083374805 Active

Practice location

704 Main St Ste 305-8
Oregon City, OR 97045-9704

Fax (503) 624-6352

Mailing address

12332 SW 72nd Ave Ste 113
Portland, OR 97223

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed

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About NPI 1083374805

Carolyn Waterfall MS LPC LLC's National Provider Identifier is 1083374805, issued on Dec 20, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oregon City, OR. The record was last updated on Dec 21, 2021.