Individual
MARIA E. WUNDERBRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8196 SW HALL BLVD, SUITE 202, BEAVERTON, OR 97008-6409
(503) 567-1820
Mailing address
1700 SE 44TH AVE, PORTLAND, OR 97215-3125
(971) 227-5067
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6254
OR
Other
Enumeration date
08/30/2010
Last updated
10/05/2015
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