MEDICARE: CARLEIGH MCNAIRY

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	106S00000X	Behavior Technician		OR

General Provider Information

NPI Number	:	1831044890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLEIGH MCNAIRY

Provider Business Mailing Address
First Line	:	3415 SE POWELL BLVD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97202-3371
Country	:	US
Telephone Number	:	503-234-9591
Fax Number	:

Provider Business Practice Location Address
First Line	:	1156 9TH AVE SW
Second Line	:
City	:	ALBANY
State	:	OR
Zip	:	97321-2004
Country	:	US
Telephone Number	:	541-758-5900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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Directions to “ CARLEIGH MCNAIRY ” Practice Location

Language	Start Address	Practice Location

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