Individual
GEORGIANA MARIA LANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8285
(503) 494-6170
Mailing address
2850 SE 12TH CT, HILLSBORO, OR 97123-5257
(503) 494-8285
(503) 494-6170
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3844
OR
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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