# JULIANNA WATERS, LCSW, LLC

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

## Provider details

- **NPI number:** 1376741215
- **Authorized official:** MS. JULIANNA WATERS LCSW (PRESIDENT)
- **Authorized official phone:** (503) 225-0908

## Contact information

- **Practice address:** 833 SW 11TH AVE, SUITE 428, PORTLAND, OR 97205-2125
- **Practice address phone:** (503) 225-0908
- **Practice address fax:** (503) 225-0913
- **Mailing address:** 833 SW 11TH AVE, SUITE 428, PORTLAND, OR 97205-2125
- **Mailing address phone:** (503) 225-0908
- **Mailing address fax:** (503) 225-0913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | L2149 | OR | Yes |

## Other

- **Enumeration date:** 07/03/2007
- **Last updated:** 11/06/2015