Sally Gardner, MSW, LCSW
Social Worker, Clinical in Portland, OR. Individual provider (NPI-1).
NPI number1124152467
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1124152467
- Entity type
- Individual (NPI-1)
- Name
- Sally Gardner
- Credential
- MSW, LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 16, 2007
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | L2258 | OR | Yes |
Practice location
1725 Se Tenino StPortland, OR 97202-6751
Phone 502-233-3042
Mailing address
1725 Se Tenino StPortland, OR 97202-6751
Phone 502-233-3042
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