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MIRANDA TAI CAMPBELL ACHARYA LCSW

Individual Provider (NPI-1) Active

Social Worker, Clinical

Provider Information

NPI Number
1801290408
Provider Type
Individual Provider (NPI-1)
Credentials
LCSW
Status
Active

Contact & Location

Address
6906 N RICHARDS ST, PORTLAND, OR, 972036138
Phone
(971) 266-1081
Fax
(503) 575-3749

Specialties & Taxonomies

Case Manager/Care Coordinator
Social Worker, Clinical Primary License: OR #L8514

All Addresses

LOCATION

6906 N RICHARDS ST

PORTLAND, OR, 972036138

(971) 266-1081

MAILING

1622 NE COUCH ST

PORTLAND, OR, 972323052

(503) 753-6373