MARIEL BAY GRIMORD-ISHAM

PORTLAND, OR
NPI1952689762
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L6323)
Enumeration Date2011-07-27
Last Update Date2015-03-04
Business Address
-- MARIEL BAY GRIMORD-ISHAM MSW, LCSW
200 SE 7TH AVE
PORTLAND, OR 97214-1200
Phone number: 503-972-9537
Mailing Address
-- MARIEL BAY GRIMORD-ISHAM MSW, LCSW
8214 N NEWMAN AVE
PORTLAND, OR 97203-3544
Phone number: 503-553-9099
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