| Carol A. Mckinnon, Lcsw | |
|
8835 Sw Canyon Ln Suite 240 Portland OR 97225-3443 | |
| (503) 292-5439 | |
| (181) 379-2339 |
| Full Name | Carol A. Mckinnon, Lcsw |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8835 Sw Canyon Ln, Portland, Oregon |
| Authorized Official Name and Position | Carol Ann Mckinnon (SOCIAL WORKER) |
| Authorized Official Contact | 5032925439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol A. Mckinnon, Lcsw 8835 Sw Canyon Ln Suite 240 Portland OR 97225-3443 Ph: (503) 292-5439 | Carol A. Mckinnon, Lcsw 8835 Sw Canyon Ln Suite 240 Portland OR 97225-3443 Ph: (503) 292-5439 |
| NPI Number | 1477838852 |
|---|---|
| Provider Enumeration Date | 10/17/2011 |
| Last Update Date | 10/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477838852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | OREGON 0326 (Oregon) | Primary |
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