Individual
DAVID ALEXANDER KILLEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3740
Mailing address
1504 ELM ST, FOREST GROVE, OR 97116-2502
(541) 514-1538
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/27/2012
Last updated
02/14/2017
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