Individual
MIRANDA TAI CAMPBELL ACHARYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6906 N RICHARDS ST, PORTLAND, OR 97203-6138
(971) 266-1081
(503) 575-3749
Mailing address
1622 NE COUCH ST, PORTLAND, OR 97232-3052
(503) 753-6373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L8514
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/10/2014
Last updated
12/11/2020
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