Individual
KIM TRIGOSO HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8383 NE SANDY BLVD STE 205, PORTLAND, OR 97220-4967
(503) 253-0964
Mailing address
PO BOX 3007, PORTLAND, OR 97208-3007
(503) 758-2900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
04-07-18
OR
1041C0700X
Clinical Social Worker
Primary
L16683
OR
Other
Enumeration date
02/11/2008
Last updated
08/25/2025
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