Individual
KELSIE MAREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7201 N INTERSTATE AVE, PORTLAND, OR 97217-5523
(503) 240-4060
Mailing address
5125 SKYLINE RD S, SALEM, OR 97306-9427
(503) 361-5400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2997
OR
Other
Enumeration date
08/19/2006
Last updated
04/01/2008
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