Individual
KYAN JERIE OSHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC ASSOCIATE
Contact information
Practice address
909 SW SAINT CLAIR AVE, PORTLAND, OR 97205-1300
(805) 689-0475
Mailing address
3444 SW GALE AVE, PORTLAND, OR 97239-1542
(805) 689-0475
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R4173
OR
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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