Individual
KENDALL CATHLEEN JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5228 NE HOYT ST, PORTLAND, OR 97213-3055
(503) 215-4860
Mailing address
5228 NE HOYT ST, PORTLAND, OR 97213-3055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SC61019396
WA
1041C0700X
Clinical Social Worker
Primary
L11681
OR
Other
Enumeration date
09/23/2015
Last updated
11/04/2025
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