Provider Demographics
NPI:1780301127
Name:FITHEN, CAROLINE K (LPCA)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:K
Last Name:FITHEN
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:K
Other - Last Name:SWEARENGIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1241 MASTERS AVE
Mailing Address - Street 2:
Mailing Address - City:CRESWELL
Mailing Address - State:OR
Mailing Address - Zip Code:97426-9771
Mailing Address - Country:US
Mailing Address - Phone:541-232-2775
Mailing Address - Fax:
Practice Address - Street 1:11740 SW 68TH PKWY STE 200
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-9058
Practice Address - Country:US
Practice Address - Phone:425-477-4216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-26
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR7983101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health