Individual provider · Type 1 NPI
Jodi Winnwalker, LCSW, MT-BC
Specialist · Portland, OR
NPI number
1043456569
Active
Practice location
2136 1/2 NE 8th Ave
Portland, OR 97212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | L3722 (OR) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1043456569
Jodi Winnwalker, LCSW, MT-BC's National Provider Identifier is 1043456569, issued on Jan 6, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Jan 6, 2009.