Individual
MS. ANGELA JAYNE KENWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1521 NE 41ST AVE APT 106, PORTLAND, OR 97232-3511
(503) 403-9781
Mailing address
PO BOX 96246, PORTLAND, OR 97296
(503) 403-9781
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10553
OR
Other
Enumeration date
06/24/2021
Last updated
05/02/2022
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