Individual
RUTH EXLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1940 NE BROADWAY ST, PORTLAND, OR 97232-1502
(503) 477-4851
Mailing address
1940 NE BROADWAY, PORTLAND, OR 97212
(503) 477-4851
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5795
OR
Other
Enumeration date
08/18/2011
Last updated
04/13/2014
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