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Individual

ISAIAH BARTLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
2309 NE LIBERTY ST, PORTLAND, OR 97211-5376
(919) 609-8167
(503) 893-3033
Mailing address
2309 NE LIBERTY ST, PORTLAND, OR 97211-5376
(919) 609-8167
(503) 893-3033

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1041C0700X
Clinical Social Worker

Other

Enumeration date
06/13/2011
Last updated
11/21/2023
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