Individual
REBECCA X CASANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MPH
Contact information
Practice address
2700 SE 26TH AVE STE D, PORTLAND, OR 97202-1288
(971) 378-9436
(971) 339-8511
Mailing address
2700 SE 26TH AVE STE D, PORTLAND, OR 97202-1288
(971) 378-9436
(971) 339-8511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6780
OR
1041C0700X
Clinical Social Worker
Primary
L6780
OR
Other
Enumeration date
03/14/2019
Last updated
11/09/2022
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