Individual
MRS. JULIE HASSEN WIESNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
423 NE 60TH AVE, PORTLAND, PORTLAND, OR 97213-3725
(360) 624-0800
Mailing address
15520 NW 21ST AVE, VANCOUVER, VANCOUVER, WA 98685-1251
(360) 624-0800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5073
OR
Other
Enumeration date
12/26/2007
Last updated
12/27/2021
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