KYLE STILWELL

PORTLAND, OR
NPI1093053795
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-01-30
Last Update Date2015-03-02
Business Address
-- KYLE STILWELL
33 NW BROADWAY
PORTLAND, OR 97209-3580
Phone number: 503-228-7134
Mailing Address
-- KYLE STILWELL
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-294-4321