Individual
GRACE MAVROMATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5441 S MACADAM AVE # 5450, PORTLAND, OR 97239-6106
(541) 900-4285
Mailing address
5441 S MACADAM AVE # 5450, PORTLAND, OR 97239-6106
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10996
OR
Other
Enumeration date
03/28/2017
Last updated
04/16/2026
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