Individual
KEREN MCCORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAILCODE UHN-73A, PORTLAND, OR 97239-3011
(503) 418-5862
Mailing address
430 NE 56TH AVE, PORTLAND, OR 97213-3118
(503) 752-0576
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4941
OR
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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