KIRK E KENWARD

CLACKAMAS, OR
NPI1396001186
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-04-05
Last Update Date2012-04-05
Business Address
Mr. KIRK E KENWARD
10180 SE SUNNYSIDE RD 1ST FLOOR, WING A
CLACKAMAS, OR 97015-8970
Phone number: 503-571-0884
Mailing Address
Mr. KIRK E KENWARD
10180 SE SUNNYSIDE RD 1ST FLOOR, WING A
CLACKAMAS, OR 97015-8970
Phone number: 503-571-0884