Individual
CAITLIN DEBOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1221 SW YAMHILL ST STE 301, PORTLAND, OR 97205-2110
(503) 226-7079
Mailing address
1221 SW YAMHILL ST STE 301, PORTLAND, OR 97205-2110
(503) 226-7079
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10741
OR
Other
Enumeration date
06/20/2019
Last updated
10/06/2021
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