Individual
MARK OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1020 SW TAYLOR ST, 448, PORTLAND, OR 97205-2543
(503) 422-0892
Mailing address
2811 NE RODNEY AVE, PORTLAND, OR 97212-3025
(503) 238-6415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4421
OR
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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