Individual
JULIE H SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1130 NW 22ND AVE STE 345, PORTLAND, OR 97210-2978
(503) 413-7513
(503) 413-7503
Mailing address
PO BOX 3808, PORTLAND, OR 97208-3808
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1309
OR
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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