Provider Demographics
NPI:1720483381
Name:CADER, GALE ANNE (MA LPC)
Entity type:Individual
Prefix:MS
First Name:GALE
Middle Name:ANNE
Last Name:CADER
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6044
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-0044
Mailing Address - Country:US
Mailing Address - Phone:503-489-8667
Mailing Address - Fax:971-458-4805
Practice Address - Street 1:5441 S MACADAM AVE STE R
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3822
Practice Address - Country:US
Practice Address - Phone:503-489-8667
Practice Address - Fax:971-458-4805
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-24
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC5337101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500798084Medicaid