Organization
KATIE UGOLINI PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN ANNE UGOLINI PH.D. (OWNER)
(503) 617-6810
Entity
Organization
Contact information
Practice address
16110 SW REGATTA LN, BEAVERTON, OR 97006-8942
(503) 617-6810
(503) 536-6794
Mailing address
5620 NE 25TH AVE, PORTLAND, OR 97211-6106
(503) 449-9690
(503) 536-6794
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346267184
INDIVIDUAL NPI
OR
Enumeration date
11/22/2022
Last updated
11/22/2022
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