Individual
KERRI SMITH-SLINGERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, CADC I, C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # 8-L, PORTLAND, OR 97239-3011
(503) 494-4658
(503) 418-5061
Mailing address
7229 N WILLAMETTE BLVD, PORTLAND, OR 97203-5075
(503) 494-4658
(503) 418-5061
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15-06-26U3
OR
1041C0700X
Clinical Social Worker
Primary
L6294
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000WCQLV
—
OR
05
—
126370
—
OR
Enumeration date
04/02/2007
Last updated
03/01/2016
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