Provider Demographics
NPI:1396265138
Name:NELSON-ARMSTRONG, KATHERINE LOUISE (LMFT)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:LOUISE
Last Name:NELSON-ARMSTRONG
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:NELSON-ARMSTRONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:818 NW 17TH AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-2327
Mailing Address - Country:US
Mailing Address - Phone:503-583-7434
Mailing Address - Fax:
Practice Address - Street 1:818 NW 17TH AVE STE 8
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-2327
Practice Address - Country:US
Practice Address - Phone:503-583-7434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-22
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT2423106H00000X
WACP60168467101YA0400X
OR14-R-23101YA0400X
WAMG60884500106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)