Individual
KAYLIE GRANLUND POURJAFARI SEISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8800 SE SUNNYSIDE RD STE 137S, CLACKAMAS, OR 97015-5770
(503) 208-5736
Mailing address
8800 SE SUNNYSIDE RD STE 112-N, CLACKAMAS, OR 97015-5738
(503) 208-5736
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
L18500
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/30/2019
Last updated
08/05/2026
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