Individual
JANE FORTUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., L.C.S.W.
Contact information
Practice address
715 SW MORRISON ST, SUITE 701, PORTLAND, OR 97205-3122
(503) 297-6723
Mailing address
4333 SW 4TH AVE, PORTLAND, OR 97239-4000
(503) 223-1977
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4035
OR
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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