Individual
KAITLIN BARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6975 SW SANDBURG ST, PORTLAND, OR 97223-8073
(814) 243-0414
Mailing address
6975 SW SANDBURG ST, PORTLAND, OR 97223-8073
(814) 243-0414
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99999999
—
OR
Enumeration date
03/10/2022
Last updated
03/10/2022
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