Individual
KATIE A SCHOONOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
LCSW
Contact information
Practice address
12360 E BURNSIDE ST, PORTLAND, OR 97233-1042
(971) 279-4800
(971) 279-2051
Mailing address
211 SE CARUTHERS ST, PORTLAND, OR 97214-4502
(503) 224-1044
(503) 621-2235
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11863
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500789844
—
OR
Enumeration date
12/21/2017
Last updated
01/02/2025
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