Individual
KATRIN E BEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
9155 SW BARNES RD STE 333, PORTLAND, OR 97225-6630
(503) 216-5102
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2841
OR
103T00000X
Psychologist
2841
OR
Other
Enumeration date
09/26/2017
Last updated
09/11/2020
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