Individual
QUILLAN CASKEY-KOLDEWYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
975 SE SANDY BLVD STE 100, PORTLAND, OR 97214-1399
(503) 427-1952
Mailing address
9133 N ALLEGHENY AVE, PORTLAND, OR 97203-2303
(206) 890-8045
(503) 662-6220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
01/09/2026
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