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Search › Oregon › Clinical Social Worker

Mark Licitra, LCSW

NPI 1568821973 · on the registry since 2016

Practice

Address
8613 Se 8th Ave
Portland, OR 97202
Phone
(215) 490-6557

Additional practice sites

  • 3710 Sw Us Veterans Hospital Rd, Portland, OR

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Also registered as
Clinical Social Worker
Licence states on file
WA, HI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-19

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