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Organization
TRANSACTIVE GENDER CENTER
Active
Organization
TRANSACTIVE GENDER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE KAUFFMAN LPC (CLIENT SERVICES PROGRAM MANAGER)
(503) 252-3000
Entity
Organization
Contact information
Practice address
1441 SE 122ND AVE, PORTLAND, OR 97233-1270
(503) 252-3000
(503) 255-3367
Mailing address
1631 NE BROADWAY ST # 355-T, PORTLAND, OR 97232-1425
(503) 252-3000
(503) 255-3367
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/21/2014
Last updated
12/12/2014
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