Individual
VICTORIA N GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Contact information
Practice address
319 SW WASHINGTON ST STE 1001, PORTLAND, OR 97204-2615
(971) 202-0677
Mailing address
2275 NW SAVIER ST APT 203, PORTLAND, OR 97210-3913
(651) 380-3519
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30150
MN
Other
Enumeration date
10/26/2022
Last updated
11/11/2024
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