Individual
MR. CRAIG ANDREW NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
17070 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-4960
(503) 303-4000
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6164
OR
Other
Enumeration date
07/18/2008
Last updated
01/16/2019
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