Individual
CARA A KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP-R
Contact information
Practice address
6011 NE OREGON ST, PORTLAND, OR 97213-4300
(971) 319-4827
(503) 662-6221
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19-QMHP-R-0044
OR
1041C0700X
Clinical Social Worker
Primary
L11609
OR
Other
Enumeration date
01/13/2020
Last updated
04/01/2026
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