Organization
CAROL A. MCKINNON, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ANN MCKINNON LCSW (SOCIAL WORKER)
(503) 292-5439
Entity
Organization
Contact information
Practice address
8835 SW CANYON LN, SUITE 240, PORTLAND, OR 97225-3443
(503) 292-5439
(181) 379-2339
Mailing address
8835 SW CANYON LN, SUITE 240, PORTLAND, OR 97225-3443
(503) 292-5439
(181) 379-2339
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
OREGON 0326
OR
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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