Individual provider · Type 1 NPI

Mira Mahendra Cavanaugh, MA, LPC, ATR

Mental Health Counselor · Beaverton, OR

NPI number 1306203344 Active

Practice location

12578 SW Broadway St
Beaverton, OR 97005-2136

Call (503) 367-3268 Map

Mailing address

13001 SW 63rd Pl
Portland, OR 97219-8068

Other practice locations

  • 12525 SW 3rd St, Beaverton, OR 97005-0517 · (503) 367-3268

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC3985 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1306203344

Mira Mahendra Cavanaugh, MA, LPC, ATR's National Provider Identifier is 1306203344, issued on Jan 21, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Beaverton, OR. The record was last updated on Jan 18, 2019.