Individual
KATE MCNULTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5200 SOUTH MACADAM AVENUE, SUITE 550, PORTLAND, OR 97239
(503) 312-6788
Mailing address
4110 SE HAWTHORNE BLVD # 324, PORTLAND, OR 97214-5246
(503) 312-6788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1201
OR
Other
Enumeration date
12/03/2005
Last updated
01/30/2024
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