Individual
KERRY WEYMOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3050 SE DIVISION ST, SUITE 210, PORTLAND, OR 97202-1451
(503) 593-7469
Mailing address
3050 SE DIVISION ST, SUITE 210, PORTLAND, OR 97202-1451
(503) 593-7469
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5969
OR
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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