Individual
CHARLES HUGHIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSWA
Contact information
Practice address
3311 NE MLK JR BLVD STE 104, PORTLAND, OR 97212-2086
(503) 946-3484
(503) 331-2549
Mailing address
14120 SE PARMENTER DR, PORTLAND, OR 97267-1823
(503) 502-2965
(503) 303-4783
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A5473
OR
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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