Katharine D Sluys, PSYD

Individual provider Active NPI Clinical Psychologist · Phoenix, OR

NPI 1346725249 · NPPES record last updated Jan 17, 2019

Key facts

NPI
1346725249
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
3009 (OR)
Practice address
205 N Phoenix Rd Ste a
Phoenix, OR 97535-9100
Phone
(541) 535-1274
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 13, 2023 through Oct 13, 2027

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1770SCMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3009 OR Yes

Addresses

Primary practice location

205 N Phoenix Rd Ste a
Phoenix, OR 97535-9100

Mailing address

PO Box 3158
Portland, OR 97208-3158
Phone (541) 535-1274

Other names

  • Dr. Katharine D Hoffman Former name

Other providers in Phoenix, OR

All providers in Phoenix, OR · Clinical Psychologist in Oregon

Sources for this page

Verify at the official NPI Registry.