Individual
MARY CATHERINE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP,PSYD
Contact information
Practice address
9155 SW BARNES RD, SUITE 418, PORTLAND, OR 97225-6625
(503) 292-3604
(503) 292-4570
Mailing address
3439 NE SANDY BLVD, PMB 375, PORTLAND, OR 97232-1959
(503) 284-8841
(503) 282-3302
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
000024406N6
OR
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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