Individual
M'LISSA RAE MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
852 SW 21ST AVE, PORTLAND, OR 97205-1604
(503) 330-4607
(503) 477-9651
Mailing address
852 SW 21ST AVE, PORTLAND, OR 97205-1604
(503) 330-4607
(503) 477-9651
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4161
OR
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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