Individual
MS. ALICE KARLIN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CLINICAL SOC WORK
Contact information
Practice address
6115 SE SALMON ST, PORTLAND, OR 97215-2819
(503) 231-0630
Mailing address
6115 SE SALMON ST, PORTLAND, OR 97215-2819
(503) 231-0630
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0481
OR
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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