Individual
KATHERINE STANSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1949 SE 122ND AVE, PORTLAND, OR 97233-1303
(503) 253-5954
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14-06-11
OR
Other
Enumeration date
03/28/2013
Last updated
08/08/2014
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