Individual
DR. KATHRYN ELYSE WOICICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3700 N WILLIAMS AVE, PORTLAND, OR 97227-1441
(503) 281-4852
Mailing address
3700 N WILLIAMS AVE, PORTLAND, OR 97227-1441
(503) 281-4852
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
3784
OR
103TC0700X
Clinical Psychologist
30399
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C653953
OREGON DMV
OR
01
—
TBD
OHP
OR
Enumeration date
10/20/2009
Last updated
09/25/2024
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