Individual provider · Type 1 NPI

Khamone Keopraseuth, MSW

Mental Health Counselor · Portland, OR

NPI number 1730385113 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-6137 Map

Mailing address

14255 SE Territory Dr
Clackamas, OR 97015-5468

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1730385113

Khamone Keopraseuth, MSW's National Provider Identifier is 1730385113, issued on Jun 22, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.