Individual
MR. HOLLIS BENJAMIN KINNER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSWA, LMSW
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 813-7755
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 813-7755
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A17063
OR
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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