Individual
DR. KENNETH B SEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1815 SW MARLOW AVE, SUITE110, PORTLAND, OR 97225-5185
(503) 292-0765
(503) 292-5208
Mailing address
1815 SW MARLOW AVE, SUITE110, PORTLAND, OR 97225-5185
(503) 292-0765
(503) 292-5208
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1974
OR
Other
Enumeration date
08/15/2006
Last updated
12/11/2008
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