Healthcare Provider Details

I. General information

NPI: 1477148211
Provider Name (Legal Business Name): KATHERINE ROY JOSEPH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2021
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 SW BEAVERTON HILLSDALE HWY STE 365
BEAVERTON OR
97005-4738
US

IV. Provider business mailing address

3800 SW 185TH AVE UNIT 6161
ALOHA OR
97078-1570
US

V. Phone/Fax

Practice location:
  • Phone: 971-832-9376
  • Fax:
Mailing address:
  • Phone: 971-832-9376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL11604
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: