Organization
JULIANNA WATERS, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIANNA WATERS LCSW (PRESIDENT)
(503) 225-0908
Entity
Organization
Contact information
Practice address
833 SW 11TH AVE, SUITE 428, PORTLAND, OR 97205-2125
(503) 225-0908
(503) 225-0913
Mailing address
833 SW 11TH AVE, SUITE 428, PORTLAND, OR 97205-2125
(503) 225-0908
(503) 225-0913
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2149
OR
Other
Enumeration date
07/03/2007
Last updated
11/06/2015
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