Individual
MISS MEGAN GRAY EDLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 233-4356
Mailing address
3305 SE 76TH AVE, PORTLAND, OR 97206-2409
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/27/2007
Last updated
03/26/2010
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