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Individual

MS. PAMELA SUE MINDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
1115 SW 11TH AVE, PORTLAND, OR 97205-2006
(503) 988-6605
Mailing address
8389 SW 24TH AVE, PORTLAND, OR 97219-3903
(503) 452-2445

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1460
HI
1041C0700X
Clinical Social Worker
Primary
L3246
OR
1041C0700X
Clinical Social Worker
LW00007917
WA

Other

Enumeration date
11/16/2005
Last updated
09/19/2007
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