Keren McCord, LCSW
Social Worker, Clinical in Portland, OR. Individual provider (NPI-1).
NPI number1396100715
StatusActive
Last updated in NPPESDec 30, 2015
Details
- NPI
- 1396100715
- Entity type
- Individual (NPI-1)
- Name
- Keren McCord
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 30, 2015
- Last updated
- Dec 30, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | L4941 | OR | Yes |
Practice location
3181 Sw Sam Jackson Park RdMailcode Uhn-73a
Portland, OR 97239-3011
Phone 503-418-5862
Mailing address
430 Ne 56th AvePortland, OR 97213-3118
Phone 503-752-0576
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