SearchOregon1041C0700X

Mary Wykowski, LCSW

NPI 1861689978 · on the registry since 2007 · sole proprietor

Practice

Address
2415 Se 43rd Ave
Portland, OR 97206
Phone
(503) 872-0168
Clinicians at this address
159

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YA0400X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-07-26

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