Individual
MRS. RITA A STRATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
333 SE 223RD AVE, SUITE 204, GRESHAM, OR 97030-7454
(503) 661-7733
(503) 661-7890
Mailing address
2116 NE 165TH DR, PORTLAND, OR 97230-5562
(503) 257-6759
(503) 257-2985
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1721
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1721
OR..LCSW LICENSE NUMBER
OR
Enumeration date
01/08/2007
Last updated
07/09/2007
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