Provider Demographics
NPI:1871105684
Name:MCABEE, MARY ELIZABETH (CADC-2 QMHA-2)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:ELIZABETH
Last Name:MCABEE
Suffix:
Gender:
Credentials:CADC-2 QMHA-2
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:ELIZABETH
Other - Last Name:MCABEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CADC-2 QMHA-2 CRM-2
Mailing Address - Street 1:6135 SW CHERRYHILL DR
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-4446
Mailing Address - Country:US
Mailing Address - Phone:541-295-5185
Mailing Address - Fax:
Practice Address - Street 1:6135 SW CHERRYHILL DR
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-4446
Practice Address - Country:US
Practice Address - Phone:541-295-5185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-21
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR000004205175T00000X
OR24-09-20475101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No175T00000XOther Service ProvidersPeer Specialist