SearchOregonClinical Social Worker

Mary Iannuccillo, MSW

NPI 1023231982 · on the registry since 2007 · sole proprietor

Practice

Address
2250 Nw Flanders St
Suite 103
Portland, OR 97210
Phone
(503) 796-9242
Fax
(503) 657-8310
Organisation at this address
Physio Pdx Llc
Jd Miller Dds Pc
Rachel Cole Dds Pc
Psychiatric Care Pc
Adore Media Group Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
75

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon