Individual
ALEXANDER A KAYHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW/QMHP-R
Contact information
Practice address
1631 SW COLUMBIA ST, PORTLAND, OR 97201-6025
(503) 231-2641
(503) 231-1654
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
24-QMHP-R-2639
OR
104100000X
Social Worker
121746-01
NY
104100000X
Social Worker
Primary
M15103
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500832446
—
OR
Enumeration date
09/16/2020
Last updated
09/09/2024
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