Individual provider · Type 1 NPI
Judith Lynn Pulliam
Clinical Social Worker · Portland, OR
Practice location
9155 SW Barnes Rd, Suite 238
Portland, OR 97225-6625
Fax (503) 961-3562
Mailing address
9590 SW Washington St
Portland, OR 97225-6924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 1154 (OR) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1730208729
Judith Lynn Pulliam's National Provider Identifier is 1730208729, issued on Mar 29, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Feb 27, 2012.