Organization
CHANGING PERCEPTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAVONNA LEE LIVINGSTON (EXECUTIVE DIRECTOR)
(503) 290-4513
Entity
Organization
Contact information
Practice address
522 SW 13TH AVE, PORTLAND, OR 97205-2307
(503) 290-4513
Mailing address
PO BOX 2071, PORTLAND, OR 97208-2071
(503) 290-4513
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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