Individual
MS. KATHERINE JO MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5525 E BURNSIDE ST, PORTLAND, OR 97215-1258
(503) 239-4475
(503) 233-4448
Mailing address
3014 SE TIBBETTS ST, PORTLAND, OR 97202-1945
(503) 232-3136
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1067
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269020
—
OR
Enumeration date
06/27/2006
Last updated
07/08/2007
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