Individual
JULIA BEVERLY HAYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # UHS-8L, PORTLAND, OR 97239-3011
(503) 494-4928
Mailing address
2146 NE 20TH AVE, PORTLAND, OR 97212-4617
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6655
OR
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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