MEDICARE: CAROL BUTLER-PAISLEY, FNP, PMHNP, LLC

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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1073489472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROL BUTLER-PAISLEY, FNP, PMHNP, LLC

Provider Business Mailing Address
First Line	:	10700 SW BEAVERTON HILLSDALE HWY STE 460
Second Line	:
City	:	BEAVERTON
State	:	OR
Zip	:	97005-4736
Country	:	US
Telephone Number	:	971-808-8333
Fax Number	:	855-696-7855

Provider Business Practice Location Address
First Line	:	10700 SW BEAVERTON HILLSDALE HWY STE 460
Second Line	:
City	:	BEAVERTON
State	:	OR
Zip	:	97005-4736
Country	:	US
Telephone Number	:	971-808-8333
Fax Number	:	855-696-7855

Authorized Official
Title or Position	:	OWNER
Name	:	CAROL BUTLER-PAISLEY
Credential	:	FNP, PMHNP
Telephone Number	:	971-808-8333

Provider Enumeration Date	:	10/13/2025
Last Update Date	:	02/09/2026

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