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Organization

KINSHIP HOUSE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BETHEL MAY LEVAD B.S. (OFFICE MANAGER)
(503) 460-2796
Entity
Organization

Contact information

Practice address
1823 NE 8TH AVE, PORTLAND, OR 97212-3907
(503) 460-2796
(503) 460-3750
Mailing address
1823 NE 8TH AVE, PORTLAND, OR 97212-3907
(503) 460-2796
(503) 460-3750

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
210418
OR
Enumeration date
03/16/2007
Last updated
09/11/2025
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