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Organization
OUR INNER LANDSCAPE
Active
Organization
OUR INNER LANDSCAPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVY KATZ LPC (CLINICAL MENTAL HEALTH COUNSELOR)
(503) 729-5790
Entity
Organization
Contact information
Practice address
4333 SE 35TH AVE, PORTLAND, OR 97202-3317
(503) 729-5790
Mailing address
2305 SE 50TH AVE, PORTLAND, OR 97215-3853
(503) 729-5790
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C4280
OR
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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