Individual
JENNIFER MANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
209 SW 4TH AVE STE 520, PORTLAND, OR 97204-1825
(503) 988-3999
Mailing address
209 SW 4TH AVE STE 520, PORTLAND, OR 97204-1825
(503) 988-3999
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3893
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L3893
LCSW
OR
Enumeration date
04/10/2007
Last updated
11/15/2021
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