Individual
CAELEIGH NICOLE IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 E BERKELEY ST, GLADSTONE, OR 97027-2511
(503) 541-0325
Mailing address
510 E BERKELEY ST, GLADSTONE, OR 97027-2511
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R11974
OR
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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