Provider Demographics
NPI:1679766356
Name:URHAUSEN, KATHRYN LEIGH (MS)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:LEIGH
Last Name:URHAUSEN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11895 SW GREENBURG RD
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-6450
Mailing Address - Country:US
Mailing Address - Phone:503-597-3882
Mailing Address - Fax:503-597-3883
Practice Address - Street 1:117 N 29TH AVE
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:OR
Practice Address - Zip Code:97113-8517
Practice Address - Country:US
Practice Address - Phone:503-597-3882
Practice Address - Fax:503-597-3883
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health