Individual
MS. ATHENA C. DOREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4225 NE TILLAMOOK ST, PORTLAND, OR 97213-1313
(503) 267-9880
Mailing address
4204 NE 14TH AVE, PORTLAND, OR 97211-5106
(503) 267-9880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5274
OR
Other
Enumeration date
02/26/2017
Last updated
02/26/2017
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