Individual
JOEL ALAN NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
2842 SE 175TH PL, PORTLAND, OR 97236-1020
(503) 680-9731
Mailing address
2842 SE 175TH PL, PORTLAND, OR 97236-1020
(503) 680-9731
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3706
OR
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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