| Katherine Aravamudan, Lpc, Llc | |
|
1312 E. Burnside Street Portland OR 97214 | |
| (503) 926-5247 | |
| Not Available |
| Full Name | Katherine Aravamudan, Lpc, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1312 E. Burnside Street, Portland, Oregon |
| Authorized Official Name and Position | Katherine Pawloski Aravamudan (OWNER, THERAPIST) |
| Authorized Official Contact | 5034214316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Aravamudan, Lpc, Llc 5012 Ne Emerson Ct. Portland OR 97218 Ph: (503) 421-4316 | Katherine Aravamudan, Lpc, Llc 1312 E. Burnside Street Portland OR 97214 Ph: (503) 926-5247 |
| NPI Number | 1780126045 |
|---|---|
| Provider Enumeration Date | 11/17/2016 |
| Last Update Date | 11/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780126045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C4329 (Oregon) | Primary |
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