| Julianna Waters, Lcsw, Llc | |
|
833 Sw 11th Ave Suite 428 Portland OR 97205-2125 | |
| (503) 225-0908 | |
| (503) 225-0913 |
| Full Name | Julianna Waters, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 833 Sw 11th Ave, Portland, Oregon |
| Authorized Official Name and Position | Julianna Waters (PRESIDENT) |
| Authorized Official Contact | 5032250908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julianna Waters, Lcsw, Llc 833 Sw 11th Ave Suite 428 Portland OR 97205-2125 Ph: (503) 225-0908 | Julianna Waters, Lcsw, Llc 833 Sw 11th Ave Suite 428 Portland OR 97205-2125 Ph: (503) 225-0908 |
| NPI Number | 1376741215 |
|---|---|
| Provider Enumeration Date | 07/03/2007 |
| Last Update Date | 11/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376741215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L2149 (Oregon) | Primary |
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