Individual
DR. ADRIENNE WOLMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
049 SW PORTER ST, PORTLAND, OR 97201-4848
(503) 552-1605
Mailing address
049 SW PORTER ST, PORTLAND, OR 97201-4848
(503) 552-1605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2861
OR
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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