Individual
CATHERINE THIESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
225 NE 92ND AVE, PORTLAND, OR 97220
(503) 908-5652
Mailing address
4999 SE REGENTS CIR, MILWAUKIE, OR 97222-4261
(503) 908-5652
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R7186
OR
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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