Individual
KATHERINE E HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(971) 219-9764
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1737
OR
Other
Enumeration date
09/01/2022
Last updated
09/13/2022
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