Individual
NICHOLAD KINTIGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1904 SE DIVISION ST, PORTLAND, OR 97202-1146
(503) 517-8663
Mailing address
615 NW NAITO PKWY APT 501, PORTLAND, OR 97209-3890
(503) 729-2431
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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