Individual
LINA M QUINTANA VIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
4537 SW 96TH AVE, BEAVERTON, OR 97005-3329
(503) 376-9520
Mailing address
1531 WOODBEND PARK W, HOUSTON, TX 77055-5161
(832) 419-3805
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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