Individual
ALYSSA STANWOOD-GORVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7304 NW BANEBERRY PL, PORTLAND, OR 97229-2205
(808) 651-2385
Mailing address
7304 NW BANEBERRY PL, PORTLAND, OR 97229-2205
(808) 651-2385
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M13254
OR
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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