Individual
AILENE JOYCE FARKAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, PSS
Contact information
Practice address
3311 NE MARTIN LUTHER KING JR BLVD STE 104, PORTLAND, OR 97212-2086
(503) 206-8856
Mailing address
17155 SW BLANTON ST, BEAVERTON, OR 97078-1829
(541) 255-9897
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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