Individual
MARGARET THIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
5119 NE 57TH AVE, PORTLAND, OR 97218-2584
(503) 215-8010
Mailing address
5119 NE 57TH AVE, PORTLAND, OR 97218
(503) 215-8010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3221
OR
Other
Enumeration date
05/22/2014
Last updated
11/21/2016
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