Individual
ANGELA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4400 NE HALSEY ST STE 200, PORTLAND, OR 97213-1545
(503) 215-6556
Mailing address
4444 E BURNSIDE ST, PORTLAND, OR 97215-1035
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7479
OR
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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