Individual
MEREDITH ELLEN MAISLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
611 SW HURBERT STREET STE A, NEWPORT, OR 97365-4715
(541) 265-3573
Mailing address
PO BOX 1305, NEWPORT, OR 97365-0101
(541) 265-3573
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
021280-1
NY
1041C0700X
Clinical Social Worker
LCS13678
CA
1041C0700X
Clinical Social Worker
Primary
LCSW 0690
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092835
—
OR
Enumeration date
09/02/2006
Last updated
06/12/2025
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