Individual
RACQUEL CHERIE KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18765 SW BOONES FERRY RD STE 100, TUALATIN, OR 97062-8607
(971) 341-4841
Mailing address
9900 SE LAWNFIELD RD APT 22, CLACKAMAS, OR 97015-9613
(971) 341-4841
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
IN10211971
OR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
12/30/2022
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