Individual
KIRK I. PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4531 SE BELMONT ST STE 250, PORTLAND, OR 97215-1675
(503) 988-5303
(503) 988-5112
Mailing address
4531 SE BELMONT ST STE 250, PORTLAND, OR 97215-1675
(503) 988-5303
(503) 988-5112
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3823
OR
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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