Provider Demographics
NPI:1639812126
Name:DUNN, CARYN MICHELLE (CADCI)
Entity Type:Individual
Prefix:
First Name:CARYN
Middle Name:MICHELLE
Last Name:DUNN
Suffix:
Gender:F
Credentials:CADCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40162 RIETH RD
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-9382
Mailing Address - Country:US
Mailing Address - Phone:541-310-9303
Mailing Address - Fax:
Practice Address - Street 1:110 SW 20TH ST STE 3
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-1869
Practice Address - Country:US
Practice Address - Phone:541-429-8261
Practice Address - Fax:541-429-8691
Is Sole Proprietor?:No
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR19-P-06101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)