SEAN PETER CHRISTIAN CAVAGHAN


Address: 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128
Phone: 5037146306

SEAN PETER CHRISTIAN CAVAGHAN (NPI# 1811502636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811502636
Entity Type Individual
Full Name SEAN PETER CHRISTIAN CAVAGHAN
Practice Address 1900 Ne Hwy 99
Suite K
Mcminnville
OR 97128
Mailing Address 3491 Ne Spring Meadow Dr
Mcminnville
OR 97128-9268
Practice Telephone 5037146306
Mailing Telephone 9712411982
Enumeration Date 2020-09-09
Last Update Date 2020-09-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
N 1744R1102X Specialist
Specialization: Research Study
Other Service Providers
N 251V00000X Voluntary or Charitable Agencies
Y 171M00000X Case Manager/Care Coordinator Other Service Providers
N 251S00000X Community/Behavioral Health Agencies
N 174H00000X Health Educator Other Service Providers
N 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 1900 NE HWY 99
SUITE K
City MCMINNVILLE
State OR
Zip Code 97128

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518565035 Bkd Hillside Opco, LLC Skilled Nursing Facility 440 Nw Hillside Park Way, Mcminnville, OR 97128 2020-10-16
1386269637 Tending The Vineyard Clinic/Center 127 Nw Highway 99w, Mcminnville, OR 97128 2020-06-12
1619441094 Kami Naber Counselor 672 Ne Evans St, Mcminnville, OR 97128 2019-01-18
1720552102 Lauren Nicole Abshire Counselor 672 Ne Evans Street, Mcminnville, OR 97128 2019-01-18
1366933376 Maria G Guerrero Specialist 325 Nw Fenton St, Mcminnville, OR 97128 2018-05-24
1235628819 Julie Luedtke Health Educator 300 Sw Hill Road South, Mcminnville, OR 97128 2018-05-09
1356838817 Jacqueline Ann Hausman Massage Therapist 119 Ne 3rd St., Mcminnville, OR 97128 2018-04-19
1366960007 Alexis R Burke Counselor 625 Ne Galloway, Mcminnville, OR 97128 2017-09-01
1871018705 Amanda Rose Bunch Counselor 418 Se Holly Way, Mcminnville, OR 97128 2017-08-11
1417493792 Kathleen Behunin Physical Therapy Assistant 421 S Evans Street, Mcminnville, OR 97128 2017-01-11
Find all providers in zip 97128

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003382169 Devin Alex Lisdero Case Manager/Care Coordinator 422 Ne 5th St, Mcminnville, OR 97128-4604 2018-10-16
1376899914 Christopher Lamont Rippy Case Manager/Care Coordinator 1252 Miriah Dr, Mcminnville, TN 37110-5309 2012-08-01
1730481904 Elizabeth Fernley Case Manager/Care Coordinator 1535 Sw Shirley Ann Dr, Mcminnville, OR 97128-7665 2010-11-22
1679727754 Heather Lavelle Dixon Case Manager/Care Coordinator 1525 Sw Shirley Ann Dr, Mcminnville, OR 97128-7665 2008-11-16
1043824972 Sydney Rose Phillips Case Manager/Care Coordinator 435 Ne Evans St Ste A, Mcminnville, OR 97128-4628 2020-09-08
1841817830 Matthew Scott Haning Case Manager/Care Coordinator 435 Ne Evans St Ste A, Mcminnville, OR 97128-4628 2020-06-25
1033735626 Jamie Jolyn Smith Case Manager/Care Coordinator 627 Ne Evans St, Mcminnville, OR 97128-3923 2020-06-19
1508499211 Sarah C Schwartz Case Manager/Care Coordinator 435 Ne Evans St Ste A, Mcminnville, OR 97128-4628 2020-02-20
1629608484 Krista Dawn Hill Case Manager/Care Coordinator 435 Ne Evans St, Mcminnville, OR 97128-4628 2020-01-21
1467916494 Ricardo Buzollo Prata Case Manager/Care Coordinator 435 Ne Evans St Ste A, Mcminnville, OR 97128-4628 2019-01-23
Find all providers in MCMINNVILLE

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City MCMINNVILLE
Zip Code 97128

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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