Individual
CALOWAY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12901 SE 97TH AVE STE 340, CLACKAMAS, OR 97015-7903
(503) 655-6806
Mailing address
8640 SE 57TH AVE, PORTLAND, OR 97206-0704
(503) 307-7557
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10323
OR
Other
Enumeration date
03/18/2019
Last updated
09/30/2020
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