Individual
LAINE MILLER-KENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
9755 SW BARNES RD STE 650, PORTLAND, OR 97225-6657
(503) 591-9280
Mailing address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(503) 591-9280
(503) 655-6806
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A15557
OR
Other
Enumeration date
08/26/2019
Last updated
09/19/2024
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