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Individual

JOHN S MARVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
X
Credential
LCSW

Contact information

Practice address
1125 SE MADISON ST STE 100E, PORTLAND, OR 97214-3600
(503) 597-8237
(503) 961-7266
Mailing address
1125 SE MADISON ST STE 100E, PORTLAND, OR 97214-3600
(503) 597-8237
(503) 961-7266

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L30008
OR
1041C0700X
Clinical Social Worker
SWI.LW.70081228
WA
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
09/21/2020
Last updated
03/18/2026
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