KRISTINA IVY

PORTLAND, OR
NPI1902280365
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: NY  084358)
1041C0700X Social Worker, Clinical
Enumeration Date2015-07-16
Last Update Date2024-02-03
Business Address
KRISTINA IVY LCSW
17727 E BURNSIDE ST
PORTLAND, OR 97233-4803
Phone number: 503-215-9800
Mailing Address
KRISTINA IVY LCSW
2637 N HALLECK ST
PORTLAND, OR 97217-6361
Phone number: 208-284-3508