Healthcare Provider Details

I. General information

NPI: 1033270939
Provider Name (Legal Business Name): KAREN KAZZ A ARTIS LPC, LCAT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 10/20/2020
Certification Date: 10/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 SW OAK ST SUITE 520
PORTLAND OR
97204-1817
US

IV. Provider business mailing address

3801 SE TENINO ST
PORTLAND OR
97202-8041
US

V. Phone/Fax

Practice location:
  • Phone: 503-988-3999
  • Fax: 503-988-3328
Mailing address:
  • Phone: 503-774-3624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number01-028
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License NumberART-C-10206190
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC3188
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: