CAROL A. MCKINNON LCSW NPI 1477838852

NPI Information

CAROL A. MCKINNON, LCSW is a mental health counselor in Portland, OR. CAROL A. MCKINNON, LCSW NPI is 1477838852. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8835 SW CANYON LN
SUITE 240
PORTLAND, OR
ZIP 97225-443
Phone: (503) 292-5439
Fax: (181) 379-2339

The provider's authorized official is Carol Ann Mckinnon .
The authorized official title is Social Worker and has the following contact phone number (503) 292-5439.

The enumeration date for this NPI number is 10/17/2011 and was last updated on 10/17/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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