Individual
CAROL EDITH SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1020 SW TAYLOR ST STE 750, PORTLAND, OR 97205-2505
(503) 224-3833
Mailing address
1020 SW TAYLOR ST STE 750, PORTLAND, OR 97205-2505
(503) 224-3833
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
367
OR
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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