Individual
KAELI HARWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
33 NW BROADWAY, PORTLAND, OR 97209-3580
(503) 228-7134
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A12270
—
1041C0700X
Clinical Social Worker
Primary
A12270
OR
372600000X
Adult Companion
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12032019540529
—
OR
Enumeration date
12/03/2019
Last updated
04/14/2025
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