Kenneth Owen West, MA

NPI #1619204229 in Gresham, Oregon

Provider Information

NPI Number: 1619204229
Entity Type: Individual
Name: Kenneth Owen West, MA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: MA
Enumeration Date: Nov 3, 2009
Last Updated: Nov 3, 2009

Practice Location

Address: 400 NE 7TH ST
City: Gresham
State: Oregon
ZIP Code: 97030-5604
Phone: (503) 661-5455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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