Provider Demographics
NPI:1588079826
Name:MCLAUGHLIN, PAUL
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14485 SW BEEF BEND RD
Mailing Address - Street 2:APT. J1
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97224-1950
Mailing Address - Country:US
Mailing Address - Phone:805-290-0432
Mailing Address - Fax:
Practice Address - Street 1:14485 SW BEEF BEND RD
Practice Address - Street 2:APT. J1
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97224-1950
Practice Address - Country:US
Practice Address - Phone:805-290-0432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor