Individual
MARIA KILLSNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 NW DAVIS ST., PORTLAND, OR 97007
(503) 226-2203
(503) 223-4231
Mailing address
324 NW DAVIS ST., PORTLAND, OR 97007
(503) 226-2203
(503) 223-4231
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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