Individual
CATHERINE LAZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2442 NE 24TH AVE, PORTLAND, OR 97212-4828
(862) 216-4962
Mailing address
2442 NE 24TH AVE, PORTLAND, OR 97212-4828
(862) 216-4962
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L12293
OR
Other
Enumeration date
04/11/2021
Last updated
04/11/2021
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