Individual
MS. KATHARINE MCWANE DOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2188 SW PARK PL STE 201, PORTLAND, OR 97205-1100
(503) 544-6267
Mailing address
2188 SW PARK PL STE 201, PORTLAND, OR 97205-1100
(503) 544-6267
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2513
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00378200
REGENCE BCBS
OR
Enumeration date
02/23/2007
Last updated
07/02/2019
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