KEVIN BLACK

PORTLAND, OR
NPI1699263889
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WA  LW60535756)
Enumeration Date2018-04-24
Last Update Date2018-04-24
Business Address
KEVIN BLACK LICSW
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
Mailing Address
KEVIN BLACK LICSW
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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