Individual
MRS. MARLEN SHIRLEY CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1962 NW KEARNEY ST, SUITE 205, PORTLAND, OR 97209-1400
(503) 650-7240
(503) 331-7196
Mailing address
4125 NE 17TH AVE, PORTLAND, OR 97211-5131
(503) 335-0279
(503) 331-7196
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1693
OR
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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