Individual
KATHRYN HAINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
412 SW 12TH AVE, PORTLAND, OR 97205-2329
(971) 506-2858
Mailing address
1623 SE MILLER ST, PORTLAND, OR 97202-6704
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
065719
OR
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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