Individual
MRS. KATIE M CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC III/QMHP-C
Contact information
Practice address
1438 SE DIVISION ST, PORTLAND, OR 97202-1140
(503) 548-0346
(503) 232-5959
Mailing address
211 SE CARUTHERS ST, PORTLAND, OR 97214-4502
(503) 224-1044
(971) 260-0355
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23-03-30067
OR
101YM0800X
Mental Health Counselor
23-QMHPC-001233
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500742513
—
OR
05
—
500812338
—
OR
Enumeration date
01/25/2017
Last updated
09/17/2025
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