Individual
KYLIE HALLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12636 SE STARK ST BLDG J, PORTLAND, OR 97233-1058
(503) 905-6554
Mailing address
12636 SE STARK ST BLDG J, PORTLAND, OR 97233-1058
(503) 905-6554
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R11500
OR
Other
Enumeration date
09/17/2024
Last updated
08/19/2025
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