Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
Y | 101YP2500X | Professional Counselor | C2235 | OR |
NPI | 1003962721 |
---|---|
Provider Name | Katherine Hunt |
First Address | Portland, OR 97207-8459 |
Second Address | Portland, OR 97232-2684 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2007 |
Last Update Date | 27/03/2018 |