person
Mr. Khamone Keopraseuth, MSW
Mental Health Counselor in Portland, Oregon
NPI 1730385113

Khamone Keopraseuth is a Mental Health Counselor based in Clackamas, OR and is specialized in Mental Health. Khamone Keopraseuth practices in Portland, OR and has the professional credentials of MSW. The NPI Number for Khamone Keopraseuth is 1730385113 and holds a License No. (Oregon).

The current practice location address for Khamone Keopraseuth is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-6137.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97015-5468
person
Provider Profile Details
NPI Number
1730385113
Provider Name
Khamone Keopraseuth
Credential
MSW
Provider Entity Type
Individual
Gender
Male
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97015-5468
Phone Number
503-494-6137
Fax Number
Provider Enumeration Date
06/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-6137
Fax Number
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-6137
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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