Individual
ANTHONY MCKINLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10714 NE GLISAN ST, PORTLAND, OR 97220-4046
(503) 645-3581
Mailing address
1052 SW WALLULA DR, GRESHAM, OR 97080-9671
(503) 260-3664
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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