Individual
CAITLIN KELLER KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, BCBA
Contact information
Practice address
9555 SW BARNES RD STE 301, PORTLAND, OR 97225-6670
(503) 535-6300
Mailing address
9555 SW BARNES RD STE 301, PORTLAND, OR 97225-6670
(503) 535-6300
(503) 297-7975
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10578
NE
103K00000X
Behavior Analyst
—
OR
103T00000X
Psychologist
Primary
2831
OR
Other
Enumeration date
07/15/2015
Last updated
04/10/2018
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