Meredith, Kathleen Marie

Meredith, Kathleen Marie is an sole proprietor health care provider with primary practice located at 10700 Sw Beaverton Hillsdale Hwy Suite 501, Beaverton OR 97005-3019. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Meredith, Kathleen Marie can be contacted via phone (503) 526-3837.

Contact Information

Primary practice address
10700 Sw Beaverton Hillsdale Hwy Suite 501 Beaverton OR 97005-3019
Fax: (503) 526-0105
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C1056 Oregon

Profile Details

NPI number 1578757761
LBN Legal business name Meredith, Kathleen Marie
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2007
Last updated Aug 30th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578757761 NPPES
California Other 0001003442 MHN

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