Individual
MS. KATHLEEN LOUISE BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 280-5053
(503) 331-6472
Mailing address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 280-5053
(503) 331-6472
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2626
OR
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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