Individual
AMY MARIE DRAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 NE IRVING ST, SUITE 250, PORTLAND, OR 97232-2243
(503) 258-4200
Mailing address
3035 SE ANKENY ST, APT. 12, PORTLAND, OR 97214-1974
(503) 319-1383
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4382
OR
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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