Individual
MISS KAREN FAYE MCVICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, LCSW
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
Mailing address
1700 NW CIVIC DR STE 310, GRESHAM, OR 97030-3774
(503) 666-8832
(503) 669-8641
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L8067
OR
1041C0700X
Clinical Social Worker
—
WA
Other
Enumeration date
01/17/2012
Last updated
04/22/2024
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