Individual
KAITLYN RUTH EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24499 SW GRAHAMS FERRY RD, WILSONVILLE, OR 97070-7523
(503) 570-6648
Mailing address
8510 N IVANHOE ST APT 203, PORTLAND, OR 97203-4989
(503) 320-9274
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11103
OR
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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