Individual
DR. KASEY CHANNARA LUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10260 SW GREENBURG RD STE 400, PORTLAND, OR 97223-5514
(503) 293-8481
Mailing address
2315 TANNLER DR, WEST LINN, OR 97068-4164
(503) 866-9809
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2567
OR
Other
Enumeration date
01/14/2015
Last updated
04/06/2021
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