Individual
KYLA RAE CADIEUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1940 NE BROADWAY ST, PORTLAND, OR 97232-1502
(917) 340-2917
Mailing address
7133 N MEARS ST, PORTLAND, OR 97203-1835
(503) 810-7810
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11247
OR
Other
Enumeration date
05/19/2008
Last updated
01/16/2025
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