Individual
COURTNEY NEALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9735 SW SHADY LN STE 104, TIGARD, OR 97223-5481
(503) 869-3519
Mailing address
1565 SW WYNWOOD AVE, PORTLAND, OR 97225-4835
(503) 869-3519
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7495
OR
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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