Organization
NORTHWEST INTEGRATED SENIOR SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA KAPPEN LCSW (MANAGER)
(503) 607-8855
Entity
Organization
Contact information
Practice address
4531 SE BELMONT ST STE 107, PORTLAND, OR 97215-1675
(503) 607-8855
(503) 296-2033
Mailing address
4531 SE BELMONT ST STE 107, PORTLAND, OR 97215-1675
(503) 607-8855
(503) 296-2033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7548
OR
Other
Enumeration date
03/01/2018
Last updated
02/06/2021
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