Skyler Whitley, LCSW
Social Worker, Clinical in Portland, OR. Individual provider (NPI-1).
NPI number1124804331
StatusActive
Last updated in NPPESDec 5, 2024
Details
- NPI
- 1124804331
- Entity type
- Individual (NPI-1)
- Name
- Mr. Skyler Whitley
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 4, 2023
- Certification date
- Dec 5, 2024
- Last updated
- Dec 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | L11712 | OR | Yes |
| 104100000X | Social Worker | A12865 | OR |
Practice location
937 Ne 76th AvePortland, OR 97213-6258
Phone 541-515-8887
Mailing address
937 Ne 76th AvePortland, OR 97213-6258
Phone 971-319-2393 · Fax 971-351-6936
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