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Individual

MR. LINN REY MENZIE SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
17734 SW SHASTA TRL, TUALATIN, OR 97062-8455
(503) 691-1718
Mailing address
17734 SW SHASTA TRL, TUALATIN, OR 97062-8455
(503) 691-1718

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4861
OR

Other

Enumeration date
03/29/2017
Last updated
03/29/2017
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