Individual
KATIE A UGOLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
16110 SW REGATTA LN, BEAVERTON, OR 97006-8942
(503) 617-6810
(503) 536-6794
Mailing address
5620 NE 25TH AVE, PORTLAND, OR 97211-6106
(503) 617-6810
(503) 536-6794
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1403
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054123028
BLUE CROSS
—
01
—
293389
VALUE OPTIONS
—
Enumeration date
07/17/2006
Last updated
12/01/2022
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