is a Clinical in Portland, Oregon. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1336359348. The last update date is .
's current location address is 3939 Ne Hancock St # 302, Portland, Oregon. You can contact this provider via phone number 5032808904. The mailing address for is 3939 Ne Hancock St # 302, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 3939 Ne Hancock St # 302, Portland, Oregon |
| Phone Number | 5032808904 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1336359348 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 3939 Ne Hancock St # 302 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972125321 |
| Phone Number | 5032808904 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1320 |
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Definition: 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, certif |
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