Individual
KATHERINE BODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2367 S ROOSEVELT DR, SEASIDE, OR 97138-6550
(503) 239-8400
(503) 239-8407
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
101YM0800X
Mental Health Counselor
—
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/27/2014
Last updated
11/25/2019
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