Individual
KATHRYNE MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2318 NE MLK BLVD, PORTLAND, OR 97212-3715
(503) 335-8611
Mailing address
4814 SE 30TH AVE APT 129, PORTLAND, OR 97202-4419
(425) 260-5544
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23-12-10968
OR
Other
Enumeration date
03/20/2023
Last updated
01/18/2024
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