Individual provider · Type 1 NPI

Katie Ariel Diershaw, MS

Mental Health Counselor · Portland, OR

NPI number 1982906517 Active

Practice location

14600 NW Cornell Rd
Portland, OR 97229-5442

Fax (503) 690-9605

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1982906517

Katie Ariel Diershaw, MS's National Provider Identifier is 1982906517, issued on Dec 2, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Dec 2, 2010.