Provider Information for 1144359662
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COURTNEY TOWNE LCSW
Sex: Female
NPI: 1144359662
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1144359662 | ||||||||
| Enumeration Date | 2007-03-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 14600 NW CORNELL RD PORTLAND, OR 97229-5442 United States Phone: 503-645-3581 | Fax:503-533-0152 | ||||||||
| Primary Practice Address | 8770 SW SCOFFINS ST TIGARD, OR 97223-6226 United States Phone: 503-684-1424 | Fax:503-684-1425 | ||||||||
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