Individual
MELANIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4210 N JUNEAU ST, PORTLAND, OR 97203-2063
(503) 317-2989
Mailing address
4210 N JUNEAU ST, PORTLAND, OR 97203-2063
(503) 317-2989
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L8486
OR
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/24/2020
Last updated
02/04/2025
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