Individual
JODIE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CCSOT
Contact information
Practice address
11035 NE SANDY BLVD, PORTLAND, OR 97220-2553
(503) 736-6646
Mailing address
11035 NE SANDY BLVD, PORTLAND, OR 97220-2553
(503) 736-6646
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2806
OR
Other
Enumeration date
07/13/2009
Last updated
01/22/2020
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