Individual
MELISSA J WOOLSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3716 NE M L KING BLVD, PORTLAND, OR 97212-1111
(503) 288-8066
(503) 288-8168
Mailing address
3716 NE M L KING BLVD, PORTLAND, OR 97212-1111
(503) 288-8066
(503) 288-8168
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3876
OR
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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