Individual
MRS. CATHLEEN NICOLE WENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1839 NE COUCH ST, PORTLAND, OR 97232
(503) 232-7411
Mailing address
1839 NE COUCH ST, PORTLAND, OR 97232-3054
(503) 232-7411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4582
OR
Other
Enumeration date
09/10/2018
Last updated
08/30/2019
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