Aaron James Kinyon
Social Worker, Clinical in Portland, OR. Individual provider (NPI-1).
NPI number1831732015
StatusActive
Last updated in NPPESMar 14, 2024
Details
- NPI
- 1831732015
- Entity type
- Individual (NPI-1)
- Name
- Aaron James Kinyon
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 21, 2019
- Certification date
- Mar 14, 2024
- Last updated
- Mar 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | L11582 | OR | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
10373 Ne Hancock St Ste 200Portland, OR 97220-3873
Phone 503-253-6754 · Fax 503-253-8020
Mailing address
2117 Se Pine StPortland, OR 97214-1610
Phone 541-699-1315
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