Individual
MS. KATHERINE GRACE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., L.C.S.W.
Contact information
Practice address
6127 SE CORA ST, PORTLAND, OR 97206-3731
(550) 265-9390
Mailing address
6127 SE CORA ST, PORTLAND, OR 97206-3731
(550) 265-9390
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L4372
OR
106H00000X
Marriage & Family Therapist
Primary
L4372
OR
Other
Enumeration date
12/04/2011
Last updated
12/22/2021
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