Individual
BONNIE B MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1815 NW FLANDERS ST, STE. 101, PORTLAND, OR 97209-2060
(503) 221-7220
Mailing address
1815 NW FLANDERS ST, STE. 101, PORTLAND, OR 97209-2060
(503) 221-7220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1379
OR
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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