Individual
REBECCA PARKER LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3519 SE 71ST AVE, PORTLAND, OR 97206-2527
(503) 908-3516
Mailing address
3519 SE 71ST AVE, PORTLAND, OR 97206-2527
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11916
OR
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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