Individual
AARON JAMES KINYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10373 NE HANCOCK ST STE 200, PORTLAND, OR 97220-3873
(503) 253-6754
(503) 253-8020
Mailing address
2117 SE PINE ST, PORTLAND, OR 97214-1610
(541) 699-1315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L11582
OR
Other
Enumeration date
10/21/2019
Last updated
03/14/2024
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