Individual
MS. CHANHTHANALY SAYADETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1601 E FORTH PLAIN BLVD, VANCOUVER, WA 98661
(360) 397-8246
Mailing address
2036 NE DEKUM ST, PORTLAND, OR 97211-5315
(503) 935-2273
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
SC61270789
WA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
03/08/2021
Last updated
06/06/2025
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