Kathryn E Allen
Individual provider Active NPI Behavior Technician · Gresham, OR
NPI 1639634249 · NPPES record last updated Feb 7, 2019
Key facts
- NPI
- 1639634249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 912 NE Kelly Ave
Gresham, OR 97030-5629 - Phone
- (503) 912-5502
- Fax
- (503) 912-5502
- NPI assigned
- Feb 7, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | OR | Yes |
Addresses
Primary practice location
912 NE Kelly Ave
Gresham, OR 97030-5629
Mailing address
912 NE Kelly Ave
Gresham, OR 97030-5629
Phone (503) 912-5502
Other practice location 1
912 NE Kelly Ave
Gresham, OR 97030-5629
Phone (503) 912-5502
Other providers in Gresham, OR
- George Alkhouri
- Lujein Solaiman Alkreidi
- All Manual Therapy
- Brian L Allen
- Eric Lee Allen
- Ryan Allen
- Sara Christine Allender
- Carissa Alleva
- Jacob Luke Allison
- Corbin Michael Allred
All providers in Gresham, OR · Behavior Technician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.