Individual
MR. JOHN KENT NEIHEISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1962 NW KEARNEY ST STE L102, PORTLAND, OR 97209-1459
(503) 525-1148
(503) 295-7898
Mailing address
4403 SW 47TH DR, PORTLAND, OR 97221-3734
(503) 227-4722
(503) 295-7898
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0570
OR
Other
Enumeration date
12/07/2006
Last updated
07/08/2007
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