Healthcare Provider Details

I. General information

NPI: 1275235509
Provider Name (Legal Business Name): KATHRYNE MCGUIRE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10315 NE TANASBOURNE DR
HILLSBORO OR
97124-7834
US

IV. Provider business mailing address

10315 NE TANASBOURNE DR
HILLSBORO OR
97124-7834
US

V. Phone/Fax

Practice location:
  • Phone: 503-249-3434
  • Fax:
Mailing address:
  • Phone: 425-260-5544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC8319
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number231210968
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: