Individual
MRS. DARA MICHELLE CHARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5125 SW MACADAM AVE, SUITE 145, PORTLAND, OR 97239-3820
(503) 231-7854
(503) 231-8153
Mailing address
6308 FROST LN, LAKE OSWEGO, OR 97035-4584
(503) 744-0684
(503) 231-8153
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3826
OR
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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