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Individual

CINDY KOTILA OHLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1675 SW MARLOW AVE, SUITE 110, PORTLAND, OR 97225-5104
(503) 297-7979
Mailing address
3525 SE 16TH AVE, PORTLAND, OR 97202-2825
(971) 227-4078

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5737
OR

Other

Enumeration date
03/15/2013
Last updated
03/25/2013
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