MS. Katherine Leigh Bour, PSS, THW, QMHA

NPI #1992214845 in Gresham, Oregon

Provider Information

NPI Number: 1992214845
Entity Type: Individual
Name: MS. Katherine Leigh Bour, PSS, THW, QMHA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: PSS, THW, QMHA
Enumeration Date: Sep 22, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 4101 NE DIVISION ST
City: Gresham
State: Oregon
ZIP Code: 97030-4617
Phone: (503) 666-6575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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