Kiley, Susan J
Kiley, Susan J is an individual health care provider with primary practice located at 2734 Ne Bryce St , Portland OR 97212-1638. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kiley, Susan J can be contacted via phone (503) 807-6880.Contact Information
Primary practice address
2734 Ne Bryce St
Portland OR 97212-1638
Phone: (503) 807-6880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW00006247 | Washington |
Profile Details
| NPI number | 1275782591 |
|---|---|
| LBN Legal business name | Kiley, Susan J |
| Credentials | LICSW, LMP, LMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 10th, 2008 |
| Last updated | Sep 10th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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