Individual
KATHRYN ANNE HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2923 NE BROADWAY ST, PORTLAND, OR 97232-1760
(360) 672-0618
Mailing address
2923 NE BROADWAY ST, PORTLAND, OR 97232-1760
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFTA.MG.70041356
WA
106H00000X
Marriage & Family Therapist
Primary
R9789
OR
Other
Enumeration date
08/22/2024
Last updated
04/03/2026
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