Litvin, Kathy A
Litvin, Kathy A is an individual health care provider with primary practice located at 620 Ne 2Nd St , Gresham OR 97030-7514. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Litvin, Kathy A can be contacted via phone (971) 274-3757.Contact Information
Primary practice address
620 Ne 2Nd St
Gresham OR 97030-7514
Phone: (971) 274-3757
Fax: (503) 912-5740
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | A4003 | Oregon |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 19-QMHPC-00301 | Oregon |
Profile Details
NPI number | 1003213737 |
---|---|
LBN Legal business name | Litvin, Kathy A |
Credentials | CSWA/QMHP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 24th, 2014 |
Last updated | Apr 2nd, 2020 - about 4 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 | 1003213737 | NPPES |
Oregon | MEDICAID | 500680935 |
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