Individual
MICHELLE MAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3505 SE 182ND AVE, GRESHAM, OR 97030-5028
(503) 988-5488
Mailing address
619 NW 6TH AVE FL 5, PORTLAND, OR 97209-3991
(503) 988-4753
(503) 988-3015
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
04/29/2024
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