Individual
JAMES RICHARD GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
12246 NW KEARNEY ST, PORTLAND, OR 97229-4942
(503) 626-3869
Mailing address
PO BOX 91418, PORTLAND, OR 97291-0418
(503) 626-3869
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
210
OR
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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