Search › Oregon › 171M00000X
Katie Longshore, QMHA, CRM II, PSS
NPI 1407504418 · on the registry since 2022 · sole proprietor
Practice
- Address
- 182 Sw Academy St Ste 333
Dallas, OR 97338 - Phone
- (503) 623-9289
- Organisation at this address
- County Of Polk
Family Connects Oregon
Polk County Mental Health
Polk County Mental Health
Polk County Mental HealthInferred from a shared address, not stated in the registry. - Clinicians at this address
- 223
Additional practice sites
- 1960 Se Godsey Rd, Dallas, OR
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 175T00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon