Individual
KENNETH OWEN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
400 NE 7TH ST, GRESHAM, OR 97030-5604
(503) 661-5455
(503) 661-4959
Mailing address
400 NE 7TH ST, GRESHAM, OR 97030-5604
(503) 661-5455
(503) 661-4959
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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