Individual
MAREN THERESE WALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9450 SW BARNES RD STE 200, PORTLAND, OR 97225-6638
(503) 216-1087
(503) 216-5529
Mailing address
9450 SW BARNES RD STE 200, PORTLAND, OR 97225-6638
(503) 216-1087
(503) 216-5529
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4504
OR
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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