Individual
KATHERINE J SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9701 SW BARNES RD, SUITE 299, PORTLAND, OR 97225-6772
(503) 297-3660
(503) 297-7637
Mailing address
7650 SW BEVELAND RD, SUITE 200, PORTLAND, OR 97223-8692
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6188
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500679722
—
OR
01
—
R179822
MEDICARE PTAN
OR
Enumeration date
06/23/2014
Last updated
06/23/2016
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