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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CAROLYN WATERFALL, LPCI

Deactivated Sole Proprietor

CAROLYN WATERFALL, LPCI is a Professional Counselor healthcare provider located in PORTLAND, Oregon. NPI 1184146565 is deactivated in the NPPES registry. Verify at CMS.

Professional Counselor · PORTLAND, OR

This NPI has been deactivated. The record was deactivated on December 21, 2021. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1184146565
Provider Type
Individual
Gender
Female
NPI Issued
Jul 7, 2017 (4.4575342465753 yrs)
Last Updated
Jul 21, 2022
Deactivated
Dec 21, 2021
License
R4777 (OR)
Sole Proprietor
Yes

Practice Information

Address
12332 SW 72ND AVE STE 113
PORTLAND, OR, 972238688
Browse OR providers · Browse ZIP 97223
Phone
5036863918
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in PORTLAND, OR

Name Credential NPI
MRS. KATHLEEN MARIE LOVE LPC 1427047927
NANCY C BOBERNAC LPC 1912986696
JOHN MICHAEL CHAPMAN LPC 1346213584
MS. RACHEL ELIZABETH STARCK MA LICENSED PROFESSI 1033187315
MS. HEIDI JOLSON MA LPC NCC CADC I 1417917246
FAITH E WINTERS LPC, CFLE 1255392502
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.