Individual
JUDITH LYNN PULLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9155 SW BARNES RD, SUITE 238, PORTLAND, OR 97225-6625
(503) 961-3562
(503) 961-3562
Mailing address
9590 SW WASHINGTON ST, PORTLAND, OR 97225-6924
(503) 961-3562
(503) 641-7621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1154
OR
Other
Enumeration date
03/29/2007
Last updated
02/27/2012
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