person
Kathryn Dorthea Fuqua
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1265997779

Kathryn Dorthea Fuqua is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Kathryn Dorthea Fuqua practices in Portland, OR. The NPI Number for Kathryn Dorthea Fuqua is 1265997779 and holds a License No. (Oregon).

The current practice location address for Kathryn Dorthea Fuqua is 1427 Se 182Nd Ave, Portland, OR and can be reached out via phone at 503-761-6006.

Location: 1427 Se 182Nd Ave, Portland, OR, 97214-1328
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Provider Profile Details
NPI Number
1265997779
Provider Name
Kathryn Dorthea Fuqua
Credential
Provider Entity Type
Individual
Gender
Female
Address
1427 Se 182Nd Ave, Portland, OR, 97214-1328
Phone Number
503-761-6006
Fax Number
Provider Enumeration Date
02/08/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YA0400X 05 OR
institution
Provider Business Practice Location Address Details
Address
1427 Se 182Nd Ave
City
State
Zip
97233-5008
Phone Number
503-761-6006
Fax Number
person
Provider Business Mailing Address Details
Address
1427 Se 182Nd Ave
City
State
Zip
97233-5008
Phone Number
503-761-6006
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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