Individual
JANA LEA KREOFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W., LCSW
Contact information
Practice address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 228-7134
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 228-7134
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/05/2013
Last updated
04/03/2018
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