Organization
KARALEEKISERLCSWPC
Active
Organization
KARALEEKISERLCSWPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARALEE KISER MSW (PRESIDENT)
(503) 228-4124
Entity
Organization
Contact information
Practice address
5331 SW MACADAM AVE, SUITE 318, PORTLAND, OR 97239-6104
(503) 228-4124
Mailing address
5331 SW MACADAM AVE, SUITE 318, PORTLAND, OR 97239
(503) 228-4124
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
557
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133352
MEDICARE LEGACY NUMBER
OR
Enumeration date
02/07/2008
Last updated
02/07/2008
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