Individual
CAROLINE KOBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1606 N AINSWORTH ST, PORTLAND, OR 97217-4708
(503) 975-4794
Mailing address
1606 N AINSWORTH ST, PORTLAND, OR 97217-4708
(503) 975-4794
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A2015
OR
1041C0700X
Clinical Social Worker
Primary
A2015
OR
106H00000X
Marriage & Family Therapist
A2015
OR
Other
Enumeration date
03/04/2015
Last updated
06/24/2015
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