| Doctor Name: | KARISSA LYNN CATALANO |
| NPI Number: | 1003045923 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 2415 Se 43rd Ave Portland, OR - 972061600 |
| Business Phone Number: | 5032380705 |
| Business Fax Number: | |
| Mailing Address: | 9189 Nw Germantown Rd, PORTLAND |
| State: | OR |
| Postal Code: | 972312798 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/13/2009 |
| NPI Last Update Date: | 03/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |