Organization
KENDYL WATTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDYL WATTS LCSW (OWNER)
(503) 333-7649
Entity
Organization
Contact information
Practice address
2512 SE 25TH AVE STE 202, PORTLAND, OR 97202-2075
(503) 333-7649
Mailing address
2512 SE 25TH AVE STE 202, PORTLAND, OR 97202-2075
(503) 333-7649
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
07/22/2021
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