Individual
MISS CARMEL THERESE IRVING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
5912 NE 16TH AVE, PORTLAND, OR 97211
(503) 312-3123
(971) 244-8981
Mailing address
5912 NE 16TH AVE, PORTLAND, OR 97211-4951
(503) 312-3123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4679
OR
Other
Enumeration date
07/25/2013
Last updated
08/04/2018
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