Individual
MS. KATRINA IRENE GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
8125 SE PINE ST, PORTLAND, OR 97215-1554
(503) 702-0877
Mailing address
8125 SE PINE ST, PORTLAND, OR 97215-1554
(503) 702-0877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3447
OR
Other
Enumeration date
11/06/2006
Last updated
10/12/2023
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