Individual
KRISTI MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC III, QMHP-C
Contact information
Practice address
2209 LLOYD CTR, PORTLAND, OR 97232-1315
(503) 231-8164
Mailing address
3217 NE 108TH AVE, PORTLAND, OR 97220-2743
(503) 545-2406
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21-04-30011
OR
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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