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NPI Code Detail

MEDICARE: KARIN ANN MCCAGHREN QMHA

MEDICARE: KARIN ANN MCCAGHREN QMHA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1023175312
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARIN ANN MCCAGHREN QMHA
Provider Business Mailing Address
First Line : 16515 BRYANT RD
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-4311
Country : US
Telephone Number : 503-889-6093
Fax Number :
Provider Business Practice Location Address
First Line : 5139 N LOMBARD ST
Second Line :
City : PORTLAND
State : OR
Zip : 97203-4403
Country : US
Telephone Number : 503-285-9871
Fax Number : 503-978-8640
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2007
Last Update Date : 07/08/2007

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Directions to “ KARIN ANN MCCAGHREN QMHA” Practice Location

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