Individual
KATHRYN L ARCHIBALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW, LCSW
Contact information
Practice address
1500 NE IRVING ST, SUITE 250, PORTLAND, OR 97232-2243
(503) 233-4356
Mailing address
10190 SW WASHINGTON ST, PORTLAND, OR 97225-6950
(503) 297-5647
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
309
OR
Other
Enumeration date
12/29/2007
Last updated
12/29/2007
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