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Individual

KEVIN TOMLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 249-3434
Mailing address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-2286

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10-12-53
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
60407047
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
60801992
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C3832
OR

Other

Enumeration date
11/14/2013
Last updated
01/18/2019
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