Individual
MS. CHERI SUZZETTE HAVLENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A12950
Contact information
Practice address
2705 E BURNSIDE ST STE 206, PORTLAND, OR 97214-1768
(503) 320-7136
Mailing address
2705 E BURNSIDE ST STE 206, PORTLAND, OR 97214-1768
(360) 609-6927
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A12950
OR
104100000X
Social Worker
CG60497290
WA
Other
Enumeration date
11/13/2007
Last updated
07/24/2022
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