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Organization

COMMON KIN COLLABORATIVE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROXANNE SHEENA CAPPARELLI LCSW (MEMBER)
(503) 208-8258
Entity
Organization

Contact information

Practice address
3050 SE DIVISION ST STE 220, PORTLAND, OR 97202-1997
(503) 300-5332
(503) 328-7780
Mailing address
3050 SE DIVISION ST STE 220, PORTLAND, OR 97202-1997
(503) 300-5332
(503) 328-7780

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
07/27/2026
Last updated
07/27/2026
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