| Kathleen M Girod Lcsw Llc | |
|
04 Sw Hamilton St Portland OR 97239-4095 | |
| (503) 837-3546 | |
| Not Available |
| Full Name | Kathleen M Girod Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 04 Sw Hamilton St, Portland, Oregon |
| Authorized Official Name and Position | Kathleen M Girod (SOCIAL WORKER) |
| Authorized Official Contact | 5038373546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen M Girod Lcsw Llc 04 Sw Hamilton St Portland OR 97239-4095 Ph: (503) 837-3546 | Kathleen M Girod Lcsw Llc 04 Sw Hamilton St Portland OR 97239-4095 Ph: (503) 837-3546 |
| NPI Number | 1972043990 |
|---|---|
| Provider Enumeration Date | 02/24/2017 |
| Last Update Date | 02/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972043990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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