Individual
KAI L HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
5417 NE. 25TH AVENUE, PORTLAND, OR 97217
(503) 402-8119
(503) 282-6722
Mailing address
6809 N CONGRESS AVE, PORTLAND, OR 97217-1948
(503) 402-8119
(503) 282-6722
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
09/11/2025
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