Individual
KYANNA SEXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(503) 568-3218
Mailing address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
OR
Other
Enumeration date
05/09/2019
Last updated
11/28/2022
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