Individual
CAITLYN GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17020 SW UPPER BOONES FERRY RD STE 201, PORTLAND, OR 97224-7078
(503) 894-1539
(971) 353-5182
Mailing address
1300 SW PARK AVE APT 406, PORTLAND, OR 97201-3551
(215) 906-7064
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
17144
OR
Other
Enumeration date
09/21/2018
Last updated
04/07/2026
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