Individual
MEGAN BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 NE FREMONT ST, PORTLAND, OR 97212-2218
(503) 961-4254
Mailing address
3926 NE 10TH AVE, PORTLAND, OR 97212-1221
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3593
OR
Other
Enumeration date
05/06/2007
Last updated
03/09/2010
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