Individual
ALISON KELSO DIANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3954 N WILLIAMS AVE, PORTLAND, OR 97227-1480
(503) 683-2523
Mailing address
2539 N ARGYLE ST, PORTLAND, OR 97217-7021
(410) 804-0551
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7671
OR
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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