Provider Demographics
NPI:1427607415
Name:LYNCH, CAITLIN (MS, NCC)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:LYNCH
Suffix:
Gender:F
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 SE LAFAYETTE ST STE 100
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-3802
Mailing Address - Country:US
Mailing Address - Phone:503-675-5733
Mailing Address - Fax:971-244-8583
Practice Address - Street 1:1219 SE LAFAYETTE ST STE 100
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-3802
Practice Address - Country:US
Practice Address - Phone:503-675-5733
Practice Address - Fax:971-244-8583
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor