Bour, Katherine Leigh
Bour, Katherine Leigh is an individual health care provider with primary practice located at 4101 Ne Division St , Gresham OR 97030-4617. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Bour, Katherine Leigh can be contacted via phone (503) 666-6575.Contact Information
Primary practice address
4101 Ne Division St
Gresham OR 97030-4617
Phone: (503) 666-6575
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | THW0648 | Oregon |
Profile Details
| NPI number | 1992214845 |
|---|---|
| LBN Legal business name | Bour, Katherine Leigh |
| Credentials | PSS, THW, QMHA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2017 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992214845 | NPPES |
| Oregon | Other | THW0648 | PEER SUPPORT SPECIALIST- ADULT MENTAL HEALTH |
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