Provider Demographics
NPI:1871328559
Name:CAVALERI, ISHBEL (NTP)
Entity type:Individual
Prefix:
First Name:ISHBEL
Middle Name:
Last Name:CAVALERI
Suffix:
Gender:F
Credentials:NTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17000 NW MEADOW GRASS DR
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-4730
Mailing Address - Country:US
Mailing Address - Phone:503-438-8819
Mailing Address - Fax:
Practice Address - Street 1:17000 NW MEADOW GRASS DR
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-4730
Practice Address - Country:US
Practice Address - Phone:503-438-8819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach