Katherine Eloise Bentley MSW, CADC I

NPI 1134267875 - Counselor - 101YA0400X

NPI Details
NPI 1134267875
Gender Female
Enumeration Date 02/02/2007
Last Updated 05/18/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
10180 SE SUNNYSIDE RD FL 1
CLACKAMAS OR, 97015-8970, US
Phone (503) 571-2328
Fax (503) 571-0867
Business Location
4208 SE STARK ST
PORTLAND OR, 97215-1644, US
Phone (503) 334-9668
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Oregon
License Number 04-07-01
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According to our database, Ms. Katherine Eloise Bentley MSW, CADC I NPI is 1134267875, taxonomy code is 101YA0400X and license number is 04-07-01, license state is located at Oregon. Katherine Eloise Bentley MSW, CADC I physically located at 10180 Se Sunnyside Rd Fl 1, Clackamas OR, 97015-8970. NPI Number Katherine Eloise Bentley MSW, CADC I has the Individual type.

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1134267875 NPI number is provided on an as is basis without warranty of any kind. 1134267875 is maintained by the National Plan & Provider Enumeration System. The contents of Katherine Eloise Bentley MSW, CADC I are for informational purposes only.