Individual
MARY ANNE STOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, PC
Contact information
Practice address
4511 SE HAWTHORNE BLVD, STE 114, PORTLAND, OR 97215-3170
(503) 408-1759
(503) 253-1285
Mailing address
4511 SE HAWTHORNE BLVD, STE 114, PORTLAND, OR 97215-3170
(503) 408-1759
(503) 253-1285
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2934
OR
Other
Enumeration date
04/29/2008
Last updated
02/03/2011
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