Individual
KATIE WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1940 NE BROADWAY ST, PORTLAND, OR 97232-1502
(503) 956-2177
Mailing address
6855 N CONCORD AVE, PORTLAND, OR 97217-5409
(503) 956-2177
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4939
OR
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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