Individual
MS. DEAH RENEE PARTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CADCII
Contact information
Practice address
3407 S CORBETT AVE, PORTLAND, OR 97239-4621
(503) 701-2294
Mailing address
16409 SE DIVISION ST STE 216, PORTLAND, OR 97236-1982
(503) 701-2294
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11-06-94
OR
1041C0700X
Clinical Social Worker
4576
OR
1041C0700X
Clinical Social Worker
Primary
L4576
OR
Other
Enumeration date
09/27/2007
Last updated
02/13/2024
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