Individual
MR. KYLE J GRELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5228 NE HOYT ST STE 102, PORTLAND, OR 97213-3055
(503) 216-6474
Mailing address
5228 NE HOYT ST BLDG B1, PORTLAND, OR 97213-3055
(503) 216-6474
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C5266
OR
Other
Enumeration date
12/02/2013
Last updated
09/30/2024
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