Individual
VICTORIA HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12121 E BURNSIDE ST, PORTLAND, OR 97216-3737
(971) 361-7700
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A15601
OR
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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