JOHN GREGORY SICKLER

PORTLAND, OR
NPI1114002664
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  3493)
Enumeration Date2006-10-25
Last Update Date2012-01-18
Business Address
-- JOHN GREGORY SICKLER LCSW
511 SW 10TH AVE SUITE 614
PORTLAND, OR 97205-2732
Phone number: 503-307-4112
Mailing Address
-- JOHN GREGORY SICKLER LCSW
10595 SW LUCAS CT
TUALATIN, OR 97062-8414
Phone number: 503-307-4112
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