Individual
MS. MICHELLE MARIE HARDAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
8532 NE HANCOCK ST, PORTLAND, OR 97220-5533
(503) 330-2514
Mailing address
8532 NE HANCOCK ST, PORTLAND, OR 97220-5533
(503) 330-2514
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
L11509
OR
Other
Enumeration date
10/21/2011
Last updated
07/17/2024
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