Individual
MARY CHAKHTOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 NE MARTIN LUTHER KING JR BLVD STE 200, PORTLAND, OR 97212-2093
(503) 327-8205
Mailing address
2039 E BURNSIDE ST, PORTLAND, OR 97214-1649
(206) 397-6815
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A14691
OR
1041C0700X
Clinical Social Worker
Primary
L17969
OR
Other
Enumeration date
05/31/2022
Last updated
05/13/2026
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