Individual
CARLA CANFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3583 NE BROADWAY ST, PORTLAND, OR 97232-1820
(503) 446-6228
Mailing address
2113 SE MAIN ST, PORTLAND, OR 97214-3839
(503) 545-7887
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4920
OR
Other
Enumeration date
06/11/2012
Last updated
09/19/2018
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