Individual
ADAM KENNYBREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8300 SE 15TH AVE, PORTLAND, OR 97202-7198
(503) 916-5656
Mailing address
8300 SE 15TH AVE, PORTLAND, OR 97202-7198
(503) 916-5656
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
125489
OR
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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