Provider Demographics
NPI:1619601150
Name:OLIVER, KARA
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:OLIVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:
Other - Last Name:OLIVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:421 W RIVERSIDE AVE STE 1600
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0406
Mailing Address - Country:US
Mailing Address - Phone:509-481-9629
Mailing Address - Fax:509-381-3538
Practice Address - Street 1:421 W RIVERSIDE AVE STE 1600
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0406
Practice Address - Country:US
Practice Address - Phone:509-481-9629
Practice Address - Fax:509-381-3538
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC70005848104100000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker