Organization · Type 2 NPI
Kairospdx
Mental Health Counselor · Portland, OR
NPI number
1790507085
Active
Practice location
4915 N Gantenbein Ave
Portland, OR 97217-2814
Mailing address
PO Box 12190
Portland, OR 97212-0190
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1790507085
Kairospdx's National Provider Identifier is 1790507085, issued on Oct 28, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Oct 28, 2024.