Individual
MR. ROBERT CASEY KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSP
Contact information
Practice address
209 SW 4TH AVE STE 520, PORTLAND, OR 97204-1825
(503) 680-7360
Mailing address
209 SW 4TH AVE STE 520, PORTLAND, OR 97204-1825
(503) 680-7360
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
03/09/2011
Last updated
10/08/2019
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