Individual
JOAN M. BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
251 N HAYDEN BAY DR, PORTLAND, OR 97217-8301
(503) 228-2218
Mailing address
251 N HAYDEN BAY DR, PORTLAND, OR 97217-8301
(503) 228-2218
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ORLCSW0453
OR
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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