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Individual

JULIE A KEANAAINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LICSW, MBA

Contact information

Practice address
222 NW DAVIS ST STE 309, PORTLAND, OR 97209-3900
(503) 334-3035
(503) 961-9212
Mailing address
222 NW DAVIS ST STE 309, PORTLAND, OR 97209-3900
(503) 334-3035
(503) 961-9212

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1774
HI
1041C0700X
Clinical Social Worker
Primary
L5390
OR

Other

Enumeration date
12/16/2010
Last updated
08/24/2022
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