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Individual

CHRISTINE J TOBAR-DUPRES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6136 NE 18TH AVE UNIT A, PORTLAND, OR 97211-5404
(503) 473-9144
Mailing address
6136 NE 18TH AVE UNIT A, PORTLAND, OR 97211-5404
(503) 473-9145

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A12097
OR
104100000X
Social Worker
Primary
L11441
OR
1041C0700X
Clinical Social Worker
Primary
L11441
OR

Other

Enumeration date
11/03/2020
Last updated
03/11/2026
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