Provider Demographics
NPI:1972834901
Name:CAUSEYA, KARLA RAE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KARLA
Middle Name:RAE
Last Name:CAUSEYA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1690 NE 169TH AVE
Mailing Address - Street 2:#201
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97230-6089
Mailing Address - Country:US
Mailing Address - Phone:971-563-2317
Mailing Address - Fax:503-295-3727
Practice Address - Street 1:1007 NE BROADWAY ST
Practice Address - Street 2:SUITE 220
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-1284
Practice Address - Country:US
Practice Address - Phone:971-563-2317
Practice Address - Fax:503-295-3727
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-14
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR1271103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical