MEDICARE: JOSHUA CLARAVALL

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1932056793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA CLARAVALL

Provider Business Mailing Address
First Line	:	12725 SW MILLIKAN WAY STE 300
Second Line	:
City	:	BEAVERTON
State	:	OR
Zip	:	97005-1687
Country	:	US
Telephone Number	:	971-246-5970
Fax Number	:

Provider Business Practice Location Address
First Line	:	20744 SE IRON HORSE LN
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97702-3850
Country	:	US
Telephone Number	:	818-939-7097
Fax Number	:

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

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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Directions to “ JOSHUA CLARAVALL ” Practice Location

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