Provider Demographics
NPI:1487729943
Name:KASKINEN, PAULETTE MARIE (LPC)
Entity type:Individual
Prefix:
First Name:PAULETTE
Middle Name:MARIE
Last Name:KASKINEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5819 NE GLISAN ST APT 420
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-3779
Mailing Address - Country:US
Mailing Address - Phone:503-752-7621
Mailing Address - Fax:503-752-7621
Practice Address - Street 1:1705 CENTENNIAL BLVD STE 2
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-3320
Practice Address - Country:US
Practice Address - Phone:541-818-0009
Practice Address - Fax:541-780-6967
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC2464101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM00046300Medicaid
NM800521083Medicare ID - Type UnspecifiedGROUP NUMBER