Individual
MS. KATHLEEN JO HUSSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2223 NE 47TH AVE, PORTLAND, OR 97213-1911
(503) 317-7814
(971) 255-0466
Mailing address
2223 NE 47TH AVE, PORTLAND, OR 97213-1911
(503) 317-7814
(971) 255-0466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
02380
OR
Other
Enumeration date
10/04/2006
Last updated
09/17/2009
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