Individual
JACINTA CHVATAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 331-3038
Mailing address
14762 NW FAWNLILY DR, PORTLAND, OR 97229-1561
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/19/2009
Last updated
01/19/2009
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