Individual
MS. CYNTHIA L HOMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2814 NE 52ND AVE, PORTLAND, OR 97213-2540
(503) 288-6295
Mailing address
2814 NE 52ND AVE, PORTLAND, OR 97213-2540
(503) 288-6295
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4130
OR
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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