KATHRYN SPORING KOVACH LPC-ASSOCIATE ATC NPI 1790109064

NPI Information

NPI: 1790109064
Provider Name: KATHRYN SPORING KOVACH, LPC-ASSOCIATE, ATC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
7106 SE 18TH AVE
PORTLAND, OR
ZIP 97202
Phone: (503) 308-1538
Get Directions

Kathryn Sporing Kovach, LPC-ASSOCIATE, ATC is a mental health counselor in Portland, OR. Kathryn Sporing Kovach, LPC-ASSOCIATE, ATC NPI is 1790109064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7106 SE 18TH AVE
PORTLAND, OR
ZIP 97202-833
Phone: (503) 308-1538
Fax: (503) 739-8956

The enumeration date for this NPI number is 2/7/2014 and was last updated on 2/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2255A2300X	Specialist/Technologist	Athletic Trainer	A00582	MARYLAND	No
2	101YM0800X	Counselor	Mental Health	R6392	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	50078660	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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