Individual
MR. KENNETH A. ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW/ LCSW
Contact information
Practice address
621 SW ALDER STREET, SUITE 520, PORTLAND, OR 97205
(503) 494-4745
(503) 494-4747
Mailing address
621 SW ALDER STREET, SUITE 520, PORTLAND, OR 97205
(503) 494-4745
(503) 494-4747
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1984
OR
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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