Alan P Kaiser PMHNP, LCSW

NPI 1013005792 - Social Worker - 1041C0700X

NPI Details
NPI 1013005792
Gender Male
Enumeration Date 10/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1340 SW BERTHA BLVD
SUITE 101
PORTLAND OR, 97219-2039, US
Phone (503) 245-5356
Fax (503) 245-5393
Business Location
1340 SW BERTHA BLVD.
SUITE 101
PORTLAND OR, 97219-2039, US
Phone (503) 245-5356
Fax (503) 245-5393
Toxanomy
Taxonomy Code 1041C0700X
License State Oregon
License Number 001741
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According to our database, Alan P Kaiser PMHNP, LCSW NPI is 1013005792, taxonomy code is 1041C0700X and license number is 001741, license state is located at Oregon. Alan P Kaiser PMHNP, LCSW physically located at 1340 Sw Bertha Blvd, Portland OR, 97219-2039. NPI Number Alan P Kaiser PMHNP, LCSW has the Individual type.

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1013005792 NPI number is provided on an as is basis without warranty of any kind. 1013005792 is maintained by the National Plan & Provider Enumeration System. The contents of Alan P Kaiser PMHNP, LCSW are for informational purposes only.