KATELYN CUSHMAN

PORTLAND, OR
NPI1417465451
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-01-11
Last Update Date2018-01-11
Business Address
KATELYN CUSHMAN
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-546-6377
Mailing Address
KATELYN CUSHMAN
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-546-6377
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