Individual
EDOUARD NIEDENTHAL DURET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5441 S MACADAM AVE STE N, PORTLAND, OR 97239-6106
(971) 433-2978
(458) 216-8051
Mailing address
5441 S MACADAM AVE STE N, PORTLAND, OR 97239-6106
(971) 433-2978
(458) 216-8051
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11117
OR
1041C0700X
Clinical Social Worker
LCSW117885
CA
372600000X
Adult Companion
—
—
Other
Enumeration date
08/25/2014
Last updated
01/05/2025
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