Basic Information
| Provider Information | |||||||||
| NPI: | 1720458011 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OHENE | ||||||||
| FirstName: | KATE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3002 SW 153RD DRIVE | ||||||||
| Address2: | |||||||||
| City: | BEAVERTON | ||||||||
| State: | OR | ||||||||
| PostalCode: | 97003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7023361322 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1411 SW MORRISON STREET | ||||||||
| Address2: | SUITE 310 | ||||||||
| City: | PORTLAND | ||||||||
| State: | OR | ||||||||
| PostalCode: | 97205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5033522400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/30/2015 | ||||||||
| LastUpdateDate: | 07/06/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program | 101YM0800X | 1720458011 | OR | N | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.