Individual
MARK J GIRARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W. L.C.S.W.
Contact information
Practice address
1815 NW FLANDERS ST, STE 203, PORTLAND, OR 97209-2060
(503) 224-1988
(360) 253-4541
Mailing address
1815 NW FLANDERS ST STE 203, PORTLAND, OR 97209-2060
(503) 224-1988
(360) 253-4541
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2522
OR
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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