Individual
NAOMI KOIDE-GASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9670 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3307
(503) 626-9494
Mailing address
9670 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3307
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6110
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164936
—
OR
Enumeration date
12/23/2013
Last updated
08/31/2014
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