Individual
KATHRYN MARLENE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I, CRM
Contact information
Practice address
704 MAIN ST STE 302, OREGON CITY, OR 97045-1842
(971) 386-3402
(503) 208-2596
Mailing address
PO BOX 16756, PORTLAND, OR 97292-0756
(971) 386-3402
(503) 208-2596
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
17-CRM-030
OR
Other
Enumeration date
08/04/2014
Last updated
07/21/2022
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