Petrauskas, Kathleen Marie
Petrauskas, Kathleen Marie is an individual health care provider with primary practice located at 58646 Mcnulty Way , Saint Helens OR 97051-6210. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Petrauskas, Kathleen Marie can be contacted via phone (503) 397-5211.Contact Information
Primary practice address
58646 Mcnulty Way
Saint Helens OR 97051-6210
Phone: (503) 397-5211
Fax: (503) 397-5373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 039002 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L4091 | Oregon |
Profile Details
| NPI number | 1760505879 |
|---|---|
| LBN Legal business name | Petrauskas, Kathleen Marie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Dec 3rd, 2007 - about 18 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 | 1760505879 | NPPES |
| Oregon | MEDICAID | 123190 |
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