Individual
MARY VIRGINIA ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2130 SW 5TH AVE, PORTLAND, OR 97201-4976
(503) 253-6754
Mailing address
2130 SW 5TH AVE, PORTLAND, OR 97201-4976
(503) 253-6754
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1355
OR
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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