Individual
MS. JANE MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1832 NE BROADWAY ST, PORTLAND, OR 97232-1992
(503) 334-1672
Mailing address
1832 NE BROADWAY ST, PORTLAND, OR 97232-1992
(503) 334-1672
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6029
OR
1041C0700X
Clinical Social Worker
LCS20166
CA
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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