Individual
KATHLEEN STIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CMFC, MAT
Contact information
Practice address
11845 SW GREENBURG RD, SUITE 200, TIGARD, OR 97223-6464
(503) 719-3878
Mailing address
11845 SW GREENBURG RD STE 210, TIGARD, OR 97223-6464
(503) 719-3878
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C6419
OR
Other
Enumeration date
09/13/2016
Last updated
04/21/2023
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