Individual
MARK SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
6854 SE DIVISION ST, PORTLAND, OR 97206-1269
(503) 841-5899
Mailing address
6854 SE DIVISION ST, PORTLAND, OR 97206-1269
(503) 841-5899
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/21/2008
Last updated
12/21/2008
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