Individual
ALYSIA KHENDEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 SE MARLIN AVE, WARRENTON, OR 97146-9624
(503) 325-0241
Mailing address
65 N HIGHWAY 101 STE 204, WARRENTON, OR 97146-9371
(503) 325-0241
(503) 861-2043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10705
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/24/2018
Last updated
09/14/2021
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