Individual
KATIE REBECCA ALTSHULER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
7003 SE WOODSTOCK BLVD, PORTLAND, OR 97206-5940
(503) 771-2271
(503) 771-2728
Mailing address
6533 N CAMPBELL AVE, PORTLAND, OR 97217-4957
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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