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Individual

KRISTY WELLS-OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10615 SE CHERRY BLOSSOM DR STE 250, PORTLAND, OR 97216-3103
(971) 373-4041
(971) 373-5285
Mailing address
2130 SW JEFFERSON ST STE 200, PORTLAND, OR 97201-7710
(971) 275-7455

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
01/26/2022
Last updated
05/14/2025
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