Provider Demographics
NPI:1215710629
Name:HOSEA, KATHERINE K
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:K
Last Name:HOSEA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2275 NW SAVIER ST APT 304
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-3914
Mailing Address - Country:US
Mailing Address - Phone:909-561-0654
Mailing Address - Fax:
Practice Address - Street 1:7346 NE SANDY BLVD APT C
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-5775
Practice Address - Country:US
Practice Address - Phone:503-746-3373
Practice Address - Fax:971-275-1534
Is Sole Proprietor?:No
Enumeration Date:2023-08-17
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health