IndividualActive
Alexander-Lee Kinmore
NPI 1699476077 · Behavior Technician · Portland, OR
Provider details
- NPI number
- 1699476077
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Practice location
1675 Sw Marlow Ave Ste 200
Portland, OR 97225-5102
Phone: (866) 523-4268
Mailing address
15106 Se Diamond Ct
Clackamas, OR 97015-7250
Registry dates
- Enumerated
- 2023-03-13
- Last updated
- 2023-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.