Individual
ANGELA J. PETRJANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
421 SW OAK ST, SUITE 520, PORTLAND, OR 97204-1817
(503) 988-3999
(503) 988-3328
Mailing address
421 SW OAK ST, SUITE 520, PORTLAND, OR 97204-1817
(503) 988-3999
(503) 988-3328
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
L4284
OR
Other
Enumeration date
04/02/2007
Last updated
09/09/2008
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