Most Relevant Information
Provider Data
| NPI Number: | 1003213737 |
| Provider Name: | KATHY A LITVIN CSWA/QMHP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | A4003 |
Most Important Dates
| Enumeration Date: | 11/24/2014 |
| Last Updated: | 04/02/2020 |
Provider Practice Location
620 NE 2ND ST
GRESHAM
OR
970307514
Practice Location Phone/Fax
| Phone: | 9712743757 |
| Fax: | 5039125740 |
Provider Mailing Location
1776 SW MADISON ST
PORTLAND
OR
972051715
Provider Mailing Phone/Fax
| Phone: | 5032241044 |
| Fax: | 5036212235 |