MIRA MAHENDRA CAVANAUGH

BEAVERTON, OR
NPI1306203344
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  C3985)
Enumeration Date2016-01-21
Last Update Date2019-01-18
Business Address
MIRA MAHENDRA CAVANAUGH MA, LPC, ATR
12578 SW BROADWAY ST
BEAVERTON, OR 97005-2136
Phone number: 503-367-3268
Mailing Address
MIRA MAHENDRA CAVANAUGH MA, LPC, ATR
13001 SW 63RD PL
PORTLAND, OR 97219-8068
Phone number:
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