Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katherine Van Brocklin

Individual provider Social Worker · NPI 1912608126

Katherine Van Brocklin is a Social Worker in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2923 NE Broadway St
Portland, OR 97232-1760
Phone: (564) 225-2450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence A14684 (OR)
Social Worker Taxonomy 104100000X · Licence SC61494846 (WA)

Record details

NPI number1912608126
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 14, 2023
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025
Mailing address6259 Se 32nd Ave, Portland, OR 97202-8504

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