Individual
JUDITH A SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
15100 BOONES FERRY RD, SUITE 750 B, LAKE OSWEGO, OR 97035-3469
(503) 699-7780
Mailing address
15100 BOONES FERRY RD, SUITE 750 B, LAKE OSWEGO, OR 97035-3469
(503) 699-7780
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
L1284
OR
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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