Individual
MS. KATHLEEN RUTH COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LMFT
Contact information
Practice address
2505 SE 11TH AVE STE 238, PORTLAND, OR 97202-1062
(503) 460-7638
Mailing address
5533 SE 62ND AVE, PORTLAND, OR 97206-5409
(503) 460-7638
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3342
OR
Other
Enumeration date
01/05/2010
Last updated
11/29/2023
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