SEAN ROBERT DERRICKSON

PORTLAND, OR
NPI1295170421
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  3242)
Enumeration Date2013-05-01
Last Update Date2013-05-01
Business Address
Mr. SEAN ROBERT DERRICKSON MSW
4610 SE BELMONT ST SUITE 10
PORTLAND, OR 97215-1752
Phone number: 503-988-4450
Mailing Address
Mr. SEAN ROBERT DERRICKSON MSW
4610 SE BELMONT ST SUITE 10
PORTLAND, OR 97215-1752
Phone number: 503-988-4450
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