Individual
JULIE JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7929 SW 37TH AVE STE D, PORTLAND, OR 97219-3663
(503) 577-3621
Mailing address
4524 SW ILLINOIS ST, PORTLAND, OR 97221-2848
(503) 577-3621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LL3315
OR
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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