Individual
CATHERINE ELAINE VAN VALKENBURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
7916 SE FOSTER RD, PORTLAND, OR 97206-4289
(503) 465-2749
Mailing address
PO BOX 16756, PORTLAND, OR 97292-0756
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15-10-20
OR
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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