Individual
MRS. MARCIA LEE BENEDICT GRASSMUECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12636 SE STARK ST, PLAZA 125, BLDG. J, PORTLAND, OR 97233-1058
(503) 253-4600
(503) 253-4609
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
(503) 233-5405
(503) 233-2696
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C0635
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000WDBCH
GROUP MEDICARE
OR
01
—
164936
GROUP MEDICAID
OK
Enumeration date
10/15/2007
Last updated
10/15/2007
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