Individual
DANA GOSS OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MPH
Contact information
Practice address
3990 COLLINS WAY STE 202, LAKE OSWEGO, OR 97035-3459
(503) 675-2830
(503) 675-2852
Mailing address
3990 COLLINS WAY STE 202, LAKE OSWEGO, OR 97035-3459
(503) 675-2830
(503) 675-2852
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5536
OR
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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