Individual
MS. KRISTIN WARDEN DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 NE IRVING ST, SUITE 250, PORTLAND, OR 97232-2243
(503) 258-4555
Mailing address
9911 SE MOUNT SCOTT BLVD, PORTLAND, OR 97266-6302
(503) 258-4200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3282
OR
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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