Individual
KATHERINE CANADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
MSW
Contact information
Practice address
10260 SW GREENBURG RD, 4TH FLOOR, PORTLAND, OR 97223
(971) 200-5254
Mailing address
2425 NE 50TH AVE UNIT 13084, PORTLAND, OR 97213-0019
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
07/23/2024
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