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1417400110
KATHERYN CORDOVA JIMENEZ
PORTLAND, OR
NPI
1417400110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L10261)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2016-07-28
Last Update Date
2024-10-08
Business Address
KATHERYN CORDOVA JIMENEZ LCSW
1507 NE 122ND AVE
PORTLAND, OR 97230
Phone number: 503-944-9121
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Mailing Address
KATHERYN CORDOVA JIMENEZ LCSW
11334 NE SISKIYOU ST
PORTLAND, OR 97220-1629
Phone number: 503-912-2741
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