Individual
JULIE LYNNE IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
22300 SW BOONES FERRY RD, TUALATIN, OR 97062-7373
(503) 941-3180
(503) 563-6969
Mailing address
7320 SW HUNZIKER RD STE 300, PORTLAND, OR 97223-2302
(503) 941-3033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A13894
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500815438
—
OR
Enumeration date
09/28/2016
Last updated
12/05/2023
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