Individual
DAWN WIDENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 332-3295
Mailing address
2558 TROY CT, WEST LINN, OR 97068-7306
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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