Healthcare Provider Details

I. General information

NPI: 1023661972
Provider Name (Legal Business Name): CAITLIN MARIE CAREW-ANDREWS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAMERON CAREW-ANDREWS LPC

II. Dates (important events)

Enumeration Date: 07/19/2019
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1760 SW 3RD ST
CORVALLIS OR
97333-1725
US

IV. Provider business mailing address

4175 E AMAZON DR
EUGENE OR
97405-4660
US

V. Phone/Fax

Practice location:
  • Phone: 541-224-8134
  • Fax: 541-223-5197
Mailing address:
  • Phone: 541-600-4151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC7823
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: