# MARY ANNE STOWELL LCSW, PC

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

## Provider details

- **NPI number:** 1326159773
- **Authorized official:** MARY ANNE STOWELL LCSW (CEO)
- **Authorized official phone:** (503) 408-1759

## Contact information

- **Practice address:** 4511 SE HAWTHORNE BLVD, SUITE 114, PORTLAND, OR 97215-3170
- **Practice address phone:** (503) 232-6868
- **Practice address fax:** (503) 253-1285
- **Mailing address:** 4511 SE HAWTHORNE BLVD, SUITE 114, PORTLAND, OR 97215-3170
- **Mailing address phone:** (503) 232-6868
- **Mailing address fax:** (503) 253-1285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | L2934 | OR | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 10/11/2010