Individual
GERALDINE RUTH BROWNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LCSW
Contact information
Practice address
15800 SW BOONES FERRY RD, SUITE A 10, LAKE OSWEGO, OR 97035
(503) 699-1165
Mailing address
5256 SW CENTERWOOD ST, LAKE OSWEGO, OR 97035
(503) 624-2045
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0002306
FL
1041C0700X
Clinical Social Worker
Primary
002879
OR
1041C0700X
Clinical Social Worker
013252
NY
1041C0700X
Clinical Social Worker
20363
CA
1041C0700X
Clinical Social Worker
LW00006015
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J9978
PACIFIC SOURCE HEALTH PLA
OR
Enumeration date
04/16/2007
Last updated
07/09/2007
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