Individual
MALLORI J LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1306 NW HOYT ST, PORTLAND, OR 97209-2731
(971) 407-3930
Mailing address
16189 NW FESCUE CT, PORTLAND, OR 97229-1656
(503) 397-5211
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/28/2022
Last updated
11/22/2024
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