Organization
LIZZA CHENVEN LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CHENVEN (OWNER)
(971) 207-5623
Entity
Organization
Contact information
Practice address
6510 SE FOSTER RD APT F, PORTLAND, OR 97206-4686
(971) 207-5623
Mailing address
6510 SE FOSTER RD APT F, PORTLAND, OR 97206-4686
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4456
OR
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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