Individual
MS. DIANE KATHLEEN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
11 SCARBOROUGH DR, LAKE OSWEGO, OR 97034-7307
(503) 638-6945
Mailing address
11 SCARBOROUGH DR, LAKE OSWEGO, OR 97034-7307
(503) 638-6945
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LO984
OR
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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