Schaefer, Kathryn M

Schaefer, Kathryn M is an individual health care provider with primary practice located at 9670 Sw Beaverton Hillsdale Hwy , Beaverton OR 97005-3307. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Schaefer, Kathryn M can be contacted via phone (503) 250-4299.

Contact Information

Primary practice address
9670 Sw Beaverton Hillsdale Hwy Beaverton OR 97005-3307
Phone: (503) 250-4299
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X L4249 Oregon

Profile Details

NPI number 1588728927
LBN Legal business name Schaefer, Kathryn M
Credentials LCSW, CADCI
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated May 27th, 2024 - about 6 months 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 1588728927 NPPES
Oregon MEDICAID 164936

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