Individual
MARY VANDERJACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1785 NE SANDY BLVD STE 270, PORTLAND, OR 97232-2791
(907) 723-3521
Mailing address
4621 NE KILLINGSWORTH ST UNIT 35, PORTLAND, OR 97218-1951
(907) 723-3521
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
OR
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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