Individual
DR. LOUISE ELLEN MARASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6514 SE 42ND AVE, PORTLAND, OR 97206-7702
(503) 972-7090
(833) 527-3447
Mailing address
4207 SE WOODSTOCK BLVD # 411, PORTLAND, OR 97206-6267
(503) 972-7090
(833) 527-3447
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2472
OR
Other
Enumeration date
09/17/2014
Last updated
05/15/2020
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