Individual
MS. KATHERINE L. CHIBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
811 E BURNSIDE ST, PORTLAND, OR 97214-1231
(503) 816-1808
(503) 386-2176
Mailing address
1222 NE 195TH AVE, PORTLAND, OR 97230-7737
(503) 816-1808
(503) 386-2176
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3848
OR
Other
Enumeration date
09/21/2006
Last updated
09/20/2021
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