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Individual

MR. DANIEL ROBERT KLINKERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.W.

Contact information

Practice address
917 SW OAK ST STE 303, PORTLAND, OR 97205-2806
(971) 200-0482
Mailing address
911 SW 21ST AVE APT 312, PORTLAND, OR 97205-1510
(313) 402-6983

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
OR
101YM0800X
Mental Health Counselor
6802084808
MI

Other

Enumeration date
03/05/2007
Last updated
11/16/2021
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