Individual
JENNIFER CORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5285 MEADOWS RD STE 170, LAKE OSWEGO, OR 97035-3478
(503) 726-5216
(503) 726-5218
Mailing address
503 EAGLE VIEW DR NW, SALEM, OR 97304-4253
(208) 301-8975
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L13053
OR
1041C0700X
Clinical Social Worker
LCSW-36286
ID
Other
Enumeration date
10/10/2014
Last updated
09/09/2022
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