Individual
MS. MARY BRUCE-OWENBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
510 SW 3RD AVE, SUITE 200, PORTLAND, OR 97204-2543
(323) 893-6238
Mailing address
510 SW 3RD AVE, SUITE 200, PORTLAND, OR 97204-2543
(323) 893-6238
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T1261
OR
Other
Enumeration date
03/18/2015
Last updated
05/11/2017
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