Individual
KELSI J EYESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
(503) 721-1038
Mailing address
1129 SW GAINES ST APT 1, PORTLAND, OR 97239-2982
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8125
OR
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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