Individual
KIRSTEN SCHWANKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LPC
Contact information
Practice address
3422 SW SPRING GARDEN ST, PORTLAND, OR 97219-3830
(502) 244-4757
Mailing address
3422 SW SPRING GARDEN ST, PORTLAND, OR 97219-3830
(503) 244-8316
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1106
OR
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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