Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolyn Waterfall, LPCI

Individual provider Professional Counselor · NPI 1184146565

Carolyn Waterfall, LPCI is a Professional Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2017

Practice location Address checks out

12332 SW 72nd Ave Ste 113
Portland, OR 97223-8688
Phone: (503) 686-3918
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence R4777 (OR)

Record details

NPI number1184146565
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCI
Sole proprietorYes
NPI enumeratedJuly 7, 2017
Last updated in NPPESJuly 21, 2022
Certification dateJanuary 26, 2022

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