Individual
KATHERINE L WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2808 NE MARTIN LUTHER KING BLVD STE M, PORTLAND, OR 97212-3061
(971) 270-0535
(971) 369-9809
Mailing address
2808 NE MARTIN LUTHER KING BLVD STE M, PORTLAND, OR 97212-3061
(971) 270-0535
(971) 369-9809
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
23-QMHP-R-2005
OR
101YP2500X
Professional Counselor
MC61466384
WA
101YP2500X
Professional Counselor
Primary
R8611
OR
221700000X
Art Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500820108
—
OR
Enumeration date
06/26/2022
Last updated
11/07/2023
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