Individual provider · Type 1 NPI

Katherin Thomson Van Doren, MA COUNSELING ART TX

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1780730705 Active

Practice location

4790 N Lombard St, Morrison Center
Portland, OR 97203-4565

Mailing address

1315 SE 35th Ave
Portland, OR 97214-4235

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Mental Health Counselor 101YM0800XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780730705

Katherin Thomson Van Doren, MA COUNSELING ART TX's National Provider Identifier is 1780730705, issued on Jan 25, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Jan 23, 2009.