Individual
MRS. MARY CATHERINE PASQUESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
3550 N INTERSTATE AVE, INTERSTATE MEDICAL OFFICE EAST, PORTLAND, OR 97227-1196
(503) 331-5213
(503) 331-5044
Mailing address
5540 NE 22ND AVE, PORTLAND, OR 97211-5522
(503) 287-0456
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4495
OR
Other
Enumeration date
12/23/2009
Last updated
01/04/2022
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