Individual
MARY C EBERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
110709
AK
1041C0700X
Clinical Social Worker
Primary
L12242
OR
Other
Enumeration date
11/01/2013
Last updated
02/12/2026
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