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Organization
TRACY BRYCE FARMER LCSW PC
Active
Organization
TRACY BRYCE FARMER LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY BRYCE FARMER LCSW, MFA, CADC (PRESIDENT)
(503) 451-3267
Entity
Organization
Contact information
Practice address
1020 SW TAYLOR ST, SUITE 435, PORTLAND, OR 97205-2543
(503) 841-2722
(541) 668-8013
Mailing address
1020 SW TAYLOR ST, SUITE 435, PORTLAND, OR 97205-2543
(503) 841-2722
(541) 668-8013
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
5679
OR
Other
Enumeration date
12/31/2014
Last updated
09/30/2016
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