Individual
MR. JOHN G WADSWORTH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4700 SW MACADAM AVE, SUITE 100D, PORTLAND, OR 97239-4265
(503) 478-0667
Mailing address
4700 SW MACADAM AVE, SUITE 100D, PORTLAND, OR 97239-4265
(503) 478-0667
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
931
OR
Other
Enumeration date
04/13/2006
Last updated
07/08/2007
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