Individual
JARVIS CRAIG ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
308 SW 1ST AVE, PORTLAND, OR 97204-3400
(503) 808-1256
(360) 737-1424
Mailing address
308 SW 1ST AVE, PORTLAND, OR 97204-3400
(503) 808-1256
(360) 737-1424
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6385
OR
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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