Individual
JULIE E.CONVY PRINDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LCSW
Contact information
Practice address
820 NW 21ST AVE STE B, PORTLAND, OR 97209-1449
(503) 975-4898
(503) 233-8905
Mailing address
820 NW 21ST AVE STE B, PORTLAND, OR 97209-1449
(503) 975-4898
(503) 233-8905
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4036
OR
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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