Individual provider · Type 1 NPI

Shane Cavanaugh

Counselor · Corvallis, OR

NPI number 1689199127 Active

Practice location

4455 NE Highway 20
Corvallis, OR 97330-9695

Mailing address

3415 SE Powell Blvd
Portland, OR 97202-3371

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: 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.

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About NPI 1689199127

Shane Cavanaugh's National Provider Identifier is 1689199127, issued on Aug 5, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Corvallis, OR. The record was last updated on Jul 8, 2019.