Individual
RICHARD DEGAY ERNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5327 NE GLISAN ST, PORTLAND, OR 97213-3060
(503) 236-6784
Mailing address
705 SE 58TH AVE, PORTLAND, OR 97215-1827
(503) 236-6784
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2462
OR
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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