Individual
MS. ELLANE LOIS KIBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1130 SW MORRISON ST, #619, PORTLAND, OR 97205-2234
(503) 781-3900
Mailing address
3335 NE 42ND AVE, PORTLAND, OR 97213-1122
(503) 781-3900
(503) 248-0975
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
657
OR
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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