Provider Demographics
NPI:1982841730
Name:KILINSKI, DIANA KAY (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:KAY
Last Name:KILINSKI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7177 SW LAKE BLUFF CT
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-9410
Mailing Address - Country:US
Mailing Address - Phone:503-887-0289
Mailing Address - Fax:503-694-8009
Practice Address - Street 1:6950 SW HAMPTON ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97223-8329
Practice Address - Country:US
Practice Address - Phone:503-887-0289
Practice Address - Fax:503-694-8009
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-15
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1021101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health