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Katie Ugolini Phd Llc
Adult Mental Health Clinic/Center in Beaverton, Oregon
NPI 1164131603

Katie Ugolini Phd Llc is an Adult Mental Health Clinic/Center based in Portland, OR and is specialized in Adult Mental Health. Katie Ugolini Phd Llc practices in Beaverton, OR. The NPI Number for Katie Ugolini Phd Llc is 1164131603 and holds a License No. (Oregon).

The current practice location address for Katie Ugolini Phd Llc is 16110 Sw Regatta Ln, Beaverton, OR and can be reached out via phone at 503-617-6810 and via fax at 503-536-6794. You can also correspond with Katie Ugolini Phd Llc through the mailing address at 5620 NE 25TH AVE, PORTLAND, OR - 97211-6106 (mailing address contact number: 503-449-9690).

Location: 16110 Sw Regatta Ln, Beaverton, OR, 97211-6106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164131603
Provider Name
Katie Ugolini Phd Llc
Credential
Provider Entity Type
Organization
Address
16110 Sw Regatta Ln, Beaverton, OR, 97211-6106
Phone Number
503-617-6810
Fax Number
503-536-6794
Provider Enumeration Date
11/22/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1346267184 01 OR INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
16110 Sw Regatta Ln
City
Beaverton
State
Oregon
Zip
97006-8942
Phone Number
503-617-6810
Fax Number
503-536-6794
person
Provider Business Mailing Address Details
Address
5620 Ne 25Th Ave
City
Portland
State
Oregon
Zip
97211-6106
Phone Number
503-449-9690
Fax Number
503-536-6794
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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