Individual
OWEN FAYE WARDROP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
529 SE DIVISION ST, STE 520, PORTLAND, OR 97214-9721
(503) 506-0441
Mailing address
1327 SE TACOMA ST STE 307, PORTLAND, OR 97202-6639
(504) 545-8465
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
L16261
OR
104100000X
Social Worker
Primary
—
OR
Other
Enumeration date
08/10/2020
Last updated
04/14/2025
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