Kristian Lynette Cavanaugh, is a
Peer Specialist based in Salem, Oregon. Kristian Lynette Cavanaugh is licensed to practice in Oregon (license number ) and her current practice location is
215 Boone Rd Se, Salem, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 363-2021.
NPI number for Kristian Lynette Cavanaugh is 1659081248 and her current mailing address is Po Box 17818, Salem, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659081248.
Healthcare Provider's Profile
| Full Name | Kristian Lynette Cavanaugh |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 215 Boone Rd Se, Salem, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659081248
- Provider Enumeration Date: 12/05/2022
- Last Update Date: 12/18/2025
Medical Identifiers
Medical identifiers for Kristian Lynette Cavanaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1659081248 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Oregon) | Secondary |
| 175T00000X | Peer Specialist | (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristian Lynette Cavanaugh is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kristian Lynette Cavanaugh, Po Box 17818, Salem, OR 97305-7818 Ph: (503) 363-2021 | Kristian Lynette Cavanaugh, 215 Boone Rd Se, Salem, OR 97306-1954 Ph: (503) 363-2021 |
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