Individual
KATRINA FAIRCHILD FRAIJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(971) 645-3772
(503) 571-2206
Mailing address
1206 SW CARSON ST, PORTLAND, OR 97219-4331
(971) 235-9420
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L5149
OR
Other
Enumeration date
02/18/2011
Last updated
03/31/2022
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