Most Relevant Information
Provider Data
| NPI Number: | 1003633744 |
| Provider Name: | KIRSTIE SWENSON MA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/24/2024 |
| Last Updated: | 09/24/2024 |
Provider Practice Location
1755 LOCKHAVEN DR NE
KEIZER
OR
973032071
Practice Location Phone/Fax
| Phone: | 2532242306 |
| Fax: |
Provider Mailing Location
1542 WALLACE RD NW APT 219
SALEM
OR
973042672
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |