Organization
MARTHA CORONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA CORONA-GOLDSTEIN LCSW (OWNER)
(503) 701-0076
Entity
Organization
Contact information
Practice address
5404 N MONTANA AVE, PORTLAND, OR 97217-4557
(503) 501-8047
Mailing address
1337 TROON DR, WEST LINN, OR 97068-1808
(503) 501-8047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3653
OR
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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