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Individual

DR. REBECCA G BLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, MSW, PHD

Contact information

Practice address
3303 SW BOND AVE, CH15R, PORTLAND, OR 97239-4501
(503) 494-6047
(503) 494-3224
Mailing address
3303 SW BOND AVE, CH15R, PORTLAND, OR 97239-4501
(503) 494-6047
(503) 494-3224

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4364
OR

Other

Enumeration date
02/28/2012
Last updated
02/28/2012
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