Individual
HEATHER MULKERNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
736 SE 60TH AVE, PORTLAND, OR 97215-1906
(503) 231-0743
Mailing address
1307 SE HARRISON ST, PORTLAND, OR 97214-4753
(503) 936-7811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3699
OR
Other
Enumeration date
09/14/2006
Last updated
07/15/2008
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