# KATE MCNULTY LCSW

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043596489
- **Authorized official:** KATE P MCNULTY LCSW (OWNER)
- **Authorized official phone:** (503) 295-6265

## Contact information

- **Practice address:** 1020 SW TAYLOR ST, SUITE 366, PORTLAND, OR 97205-2543
- **Practice address phone:** (503) 295-6265
- **Practice address fax:** (503) 232-1969
- **Mailing address:** 1020 SW TAYLOR ST, SUITE 366, PORTLAND, OR 97205-2543
- **Mailing address phone:** (503) 295-6265
- **Mailing address fax:** (503) 232-1969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 1201 | OR | Yes |

## Other

- **Enumeration date:** 10/31/2011
- **Last updated:** 10/31/2011