Organization
FULL CIRCLE COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON ERNEST HAIMAN LCSW (SOCIAL WORKER/THERAPIST)
(303) 564-0126
Entity
Organization
Contact information
Practice address
4230 SE KING RD # 104, PORTLAND, OR 97222-5259
(303) 564-0126
Mailing address
4230 SE KING RD # 104, PORTLAND, OR 97222-5259
(303) 564-0126
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7605
OR
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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