Organization
COUNSELING ON BURNSIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH ALEXANDER L.C.S.W. (PRESIDENT)
(503) 827-3644
Entity
Organization
Contact information
Practice address
2303 E BURNSIDE ST, PORTLAND, OR 97214-1655
(503) 827-3644
(503) 281-7703
Mailing address
2303 E BURNSIDE ST, PORTLAND, OR 97214-1655
(503) 827-3644
(503) 281-7703
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1685
OR
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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