Claire Ashley Waterman, M.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R9957 Issued in OR

Practice address

1020 SW Taylor St
Portland, OR 97205-2543

Phone

(503) 558-6286

NPI assigned

Sep 17, 2024

Last updated

Sep 17, 2024By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Claire Van Wolfe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1740017391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8640 SE CAUSEY AVE APT W206",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970860613",
            "telephone_number": "254-715-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052543",
            "telephone_number": "503-558-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "CLAIRE",
        "middle_name": "ASHLEY",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R9957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAIRE",
            "last_name": "VAN WOLFE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Saera Watanabe, MD
• Watercourse Wellness
• Carolyn Waterfall, LPCI
• Katharyn Waterfield, MA, LPC
• Iris M Waterlin, LMT
• Cristina L Waterman, DMD
• Emily Waterman, M.D.
• Jean Louise Waterman, LCSW
• Allison Waters, MSW, MDIV, QMHP
• Amy B Waters, MD

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.