Individual
CLARA DIANE CAUDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8915 SW CENTER ST, TIGARD, OR 97223
(503) 726-3740
Mailing address
8435 SE INSLEY #14, PORTLAND, OR 97266
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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