# MIRIAM L ROBINSON, LICENSED CLINICAL SOCIAL WORKER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235425505
- **Authorized official:** MS. MIRIAM LOUISE ROBINSON LCSW (OWNER)
- **Authorized official phone:** (503) 465-5708

## Contact information

- **Practice address:** 5331 S MACADAM AVE STE 283, PORTLAND, OR 97239-3849
- **Practice address phone:** (503) 465-5708
- **Practice address fax:** (503) 465-5707
- **Mailing address:** 5331 S MACADAM AVE STE 283, PORTLAND, OR 97239-3849
- **Mailing address phone:** (503) 465-5708
- **Mailing address fax:** (503) 465-5707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2011
- **Last updated:** 06/23/2024