Individual
CARLY BIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3258 NE SKIDMORE ST, PORTLAND, OR 97211-7747
(949) 547-0205
Mailing address
3258 NE SKIDMORE ST, PORTLAND, OR 97211-7747
(949) 547-0205
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
85442
CA
1041C0700X
Clinical Social Worker
Primary
101103
CA
1041C0700X
Clinical Social Worker
L17941
OR
Other
Enumeration date
10/18/2018
Last updated
04/28/2026
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