Individual
KATHI S GERSPACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
5200 SW MACADAM AVE, SUITE 580, PORTLAND, OR 97239
(971) 404-6603
(503) 231-8153
Mailing address
5200 SW MACADAM AVE., SUITE 580, PORTLAND, OR 97239
(971) 404-6603
(503) 231-8153
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12644877
CAQH
OR
Enumeration date
08/17/2012
Last updated
02/07/2014
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