Provider Demographics
NPI:1972877983
Name:CALOURI, KATHERINE ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:ANN
Last Name:CALOURI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 SW 185TH AVENUE
Mailing Address - Street 2:#6192
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97078-6192
Mailing Address - Country:US
Mailing Address - Phone:503-739-5775
Mailing Address - Fax:
Practice Address - Street 1:2360 SW 170TH AVE
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-4345
Practice Address - Country:US
Practice Address - Phone:503-356-8334
Practice Address - Fax:503-356-8726
Is Sole Proprietor?:No
Enumeration Date:2012-03-08
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3012103T00000X
103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103T00000XBehavioral Health & Social Service ProvidersPsychologist