Organization
GRACE MAVROMATIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE MAVROMATIS LCSW (MENTAL HEALTH THERAPIST)
(503) 706-9297
Entity
Organization
Contact information
Practice address
5441 S MACADAM AVE STE 5450, PORTLAND, OR 97239-3822
(503) 706-9297
Mailing address
5441 S MACADAM AVE STE 5450, PORTLAND, OR 97239-3822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/24/2025
Last updated
12/24/2025
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