Individual
MS. KATHY QUERIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
7175 SW BEVELAND RD, SUITE 105, PORTLAND, OR 97223-8665
(503) 620-4000
(503) 639-8987
Mailing address
7175 SW BEVELAND RD, SUITE 105, PORTLAND, OR 97223-8665
(503) 620-4000
(503) 639-8987
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C2016
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
09-06-41
OR
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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