Individual
GRACE WHITTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
649 NE HOOD AVE, GRESHAM, OR 97030-7328
(971) 404-4668
Mailing address
1814 SW MOSS ST, PORTLAND, OR 97219-2743
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A14264
OR
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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