Individual
REBECCA M MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5228 NE HOYT ST BLDG B1, PORTLAND, OR 97213-3055
(503) 216-6474
Mailing address
5228 NE HOYT ST BLDG B1, PORTLAND, OR 97213-3055
(503) 216-6474
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11492
OR
Other
Enumeration date
07/31/2017
Last updated
11/02/2023
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