Healthcare Provider Details

I. General information

NPI: 1245513845
Provider Name (Legal Business Name): KATHERINE COREA TALBERT MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2011
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8905 SW NIMBUS AVE STE 300
BEAVERTON OR
97008-7162
US

IV. Provider business mailing address

8905 SW NIMBUS AVE STE 300
BEAVERTON OR
97008-7162
US

V. Phone/Fax

Practice location:
  • Phone: 503-352-0468
  • Fax: 503-352-1024
Mailing address:
  • Phone: 503-352-0468
  • Fax: 503-352-1024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC2689
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: