Individual
MS. CHRISTINE ELIZABETH HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CADC II
Contact information
Practice address
5404 N MONTANA AVE, PORTLAND, OR 97217-4557
(503) 872-0480
Mailing address
7231 N FOSS AVE, PORTLAND, OR 97203-4721
(503) 502-1706
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
4397
OR
Other
Enumeration date
01/30/2007
Last updated
03/09/2011
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