Most Relevant Information
Provider Data
| NPI Number: | 1003538141 |
| Provider Name: | CAITLYN EID |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/15/2022 |
| Last Updated: | 09/15/2022 |
Provider Practice Location
1427 SE 182ND AVE
PORTLAND
OR
972335008
Practice Location Phone/Fax
| Phone: | 5037616006 |
| Fax: | 5037611434 |
Provider Mailing Location
1027 E BURNSIDE ST
PORTLAND
OR
972141328
Provider Mailing Phone/Fax
| Phone: | 5032398400 |
| Fax: | 5032398406 |