Provider Demographics
NPI:1871934703
Name:OSTROVE, KATHARINE JULIANNA (MS, LMFT)
Entity type:Individual
Prefix:MISS
First Name:KATHARINE
Middle Name:JULIANNA
Last Name:OSTROVE
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 NW 185TH AVE # 3013
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229-3406
Mailing Address - Country:US
Mailing Address - Phone:541-357-9004
Mailing Address - Fax:
Practice Address - Street 1:2146 BRITTANY ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-1347
Practice Address - Country:US
Practice Address - Phone:805-407-7673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2917083106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist