Provider Demographics
NPI:1629774674
Name:OGILVY, CATHERINE E (QMHP-R)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:E
Last Name:OGILVY
Suffix:
Gender:F
Credentials:QMHP-R
Other - Prefix:
Other - First Name:CAT
Other - Middle Name:E
Other - Last Name:OGILVY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:QMHP-R
Mailing Address - Street 1:1776 SW MADISON ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-1715
Mailing Address - Country:US
Mailing Address - Phone:503-224-1044
Mailing Address - Fax:503-621-2235
Practice Address - Street 1:703 NE HANCOCK ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97212-3955
Practice Address - Country:US
Practice Address - Phone:503-230-9875
Practice Address - Fax:503-230-9877
Is Sole Proprietor?:No
Enumeration Date:2023-02-01
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR24-QMHP-R-2841101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health