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1427047927

NPI Code Detail

MEDICARE: MRS. KATHLEEN MARIE LOVE LPC

MEDICARE: MRS. KATHLEEN MARIE LOVE LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	C3805	OR

General Provider Information

NPI Number	:	1427047927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHLEEN MARIE LOVE LPC

Provider Business Mailing Address
First Line	:	8923 SW MARSEILLES DR
Second Line	:
City	:	BEAVERTON
State	:	OR
Zip	:	97007-9040
Country	:	US
Telephone Number	:	503-807-2704
Fax Number	:	503-296-2276

Provider Business Practice Location Address
First Line	:	1675 SW MARLOW AVE STE 303
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97225-5102
Country	:	US
Telephone Number	:	503-807-2704
Fax Number	:	503-296-2276

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	01/26/2017

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Directions to “ MRS. KATHLEEN MARIE LOVE LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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