Individual
MR. SKYLER WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
937 NE 76TH AVE, PORTLAND, OR 97213-6258
(541) 515-8887
Mailing address
937 NE 76TH AVE, PORTLAND, OR 97213-6258
(971) 319-2393
(971) 351-6936
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
A12865
OR
1041C0700X
Clinical Social Worker
Primary
L11712
OR
Other
Enumeration date
09/04/2023
Last updated
12/05/2024
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