Individual
MS. RUTH A. MAIONCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.W.
Contact information
Practice address
1625 NE MARINE DR, PORTLAND, OR 97211-1533
(503) 289-3600
(503) 289-6175
Mailing address
1625 NE MARINE DR, PORTLAND, OR 97211-1533
(503) 289-3600
(503) 289-6175
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3531
OR
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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