Individual
MARISSA MINATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(035) 234-4100
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11362
OR
Other
Enumeration date
11/07/2016
Last updated
01/20/2026
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