Individual
ISAIAH PITRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSWA
Contact information
Practice address
523 N MAIN AVE, GRESHAM, OR 97030-7235
(971) 404-4668
Mailing address
523 N MAIN AVE, GRESHAM, OR 97030-7235
(971) 404-4668
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A15399
OR
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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