Katherina I Alexandre, LMFT

Individual provider Active NPI Professional Counselor · Lake Oswego, OR

NPI 1164559423 · NPPES record last updated Oct 30, 2023

Key facts

NPI
1164559423
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
TO533 (OR)
Practice address
4450 Lords LN
Lake Oswego, OR 97035-6532
Phone
(503) 890-2454
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
TO533ORMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X OR
Professional Counselor 101YP2500X TO533 OR Yes

Addresses

Primary practice location

4450 Lords LN
Lake Oswego, OR 97035-6532

Mailing address

PO Box 1823
Wilsonville, OR 97070
Phone (503) 890-2454

Other names

  • Katherina Alexandre Professional name

Other providers in Lake Oswego, OR

All providers in Lake Oswego, OR · Professional Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.