Search › Oregon › Clinical 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 LlcInferred 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