Individual
CHIDOZIE KENNETH UROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7340 SW HUNZIKER RD STE 215, TIGARD, OR 97223-2304
(503) 778-0787
Mailing address
17602 NE CLACKAMAS TER, PORTLAND, OR 97230-6378
(971) 219-6198
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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