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Individual

JULIA AMY HILL BRYSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6030 SE 52ND AVE STE 204, PORTLAND, OR 97206-6801
(971) 599-1128
Mailing address
707 SW GAINES ST, PORTLAND, OR 97239-2901

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500715795
OR
01
L7068
OREGON BOARD OF LICENSED SOCIAL WORKERS
OR
Enumeration date
01/12/2008
Last updated
07/09/2021
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