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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SHANE D KENNINGTON, LCSW

Active Sole Proprietor

MR. SHANE D KENNINGTON, LCSW is a Clinical Social Worker healthcare provider located in PORTLAND, Oregon. NPI 1174754493 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PORTLAND, OR

Registration Details

NPI Number
1174754493
Provider Type
Individual
Gender
Male
NPI Issued
Aug 4, 2009 (17.003493349987 yrs)
Last Updated
Oct 13, 2023
License
L7078 (OR)
Sole Proprietor
Yes

Practice Information

Address
1750 SW SKYLINE BLVD STE 206
PORTLAND, OR, 972212545
Browse OR providers · Browse ZIP 97221
Phone
5033275584
Fax
9713516851
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in PORTLAND, OR

Name Credential NPI
LAURANELL SCARFO LCSW 1659371169
LAURA L WOZNIAK LCSW 1487642047
SUSAN SHERWOOD LCSW 1144219114
KAREN ST CLAIR LCSW 1124017199
ARTICE E GEARY LCSW 1508856188
MS. SABRINA ULLMANN MATHEWS LCSW 1235110248
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.