Individual
MCKENNA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2701 NW VAUGHN ST STE 140, PORTLAND, OR 97210-5344
(503) 499-5200
Mailing address
6411 N ALBINA AVE APT 2, PORTLAND, OR 97217-1800
(503) 442-9028
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/24/2021
Last updated
03/07/2022
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