Kavanagh, Cindy Jo

Kavanagh, Cindy Jo is an individual health care provider with primary practice located at 15610 Se Division St , Portland OR 97236-2002. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Kavanagh, Cindy Jo can be contacted via phone (971) 202-7897.

Contact Information

Primary practice address
15610 Se Division St Portland OR 97236-2002
Phone: (971) 202-7897
Fax: (503) 760-7463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 14-05-17U Oregon

Profile Details

NPI number 1720265267
LBN Legal business name Kavanagh, Cindy Jo
Credentials CADC I, AS, QMHA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2008
Last updated Mar 3rd, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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