Individual
RUSHINI K. JAYAWARDENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5380 SE 28TH AVE, PORTLAND, OR 97202-4541
(503) 517-7448
Mailing address
5745 NE DAMSEL DR, HILLSBORO, OR 97124-6142
(646) 427-7618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L9521
OR
Other
Enumeration date
11/09/2018
Last updated
10/21/2020
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