SHANE D KENNINGTON

PORTLAND, OR
NPI1174754493
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L7078)
Enumeration Date2009-08-04
Last Update Date2023-10-13
Business Address
Mr. SHANE D KENNINGTON LCSW
1750 SW SKYLINE BLVD STE 206
PORTLAND, OR 97221-2545
Phone number: 503-327-5584
Mailing Address
Mr. SHANE D KENNINGTON LCSW
1750 SW SKYLINE BLVD STE 206
PORTLAND, OR 97221-2545
Phone number: 503-327-5584
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