Organization
DYNAMIC THERAPY ALLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA KINMAN LCSW (LICENSED CLINICAL SOCIAL WORKER)
(970) 258-0220
Entity
Organization
Contact information
Practice address
2404 SE 113TH AVE, PORTLAND, OR 97216-4042
(971) 259-8022
(971) 484-4002
Mailing address
2404 SE 113TH AVE APT A, PORTLAND, OR 97216-4042
(971) 259-8022
(971) 484-4002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
03/16/2026
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