Provider Demographics
NPI:1821334681
Name:MCGRATH, CAROLINE (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15110 BOONES FERRY RD STE 150
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-3486
Mailing Address - Country:US
Mailing Address - Phone:503-252-5243
Mailing Address - Fax:
Practice Address - Street 1:15110 BOONES FERRY RD STE 150
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-3486
Practice Address - Country:US
Practice Address - Phone:503-252-5243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-26
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health