Individual
MR. KERRINS THOMAS CONROY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCC, LPC
Contact information
Practice address
1110 SE ALDER ST STE 301, PORTLAND, OR 97214-2400
(503) 530-6316
Mailing address
2266 SE 110TH AVE, PORTLAND, OR 97216-3211
(503) 530-6316
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/03/2021
Last updated
10/17/2024
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