Individual
MS. MARY JOSEPHINE DRISCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3550 SE WOODWARD ST, PORTLAND, OR 97202-1552
(503) 813-7747
Mailing address
3550 SE WOODWARD ST, PORTLAND, OR 97202-1552
(503) 813-7747
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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