Individual
MRS. ANGELIE ROSE HEALY CLEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3303 SW BOND AVE # CH8C, PORTLAND, OR 97239-4501
(503) 418-9291
(503) 418-9276
Mailing address
2829 BUENA VISTA RD, NYSSA, OR 97913
(971) 277-8109
(503) 418-9276
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4634
OR
Other
Enumeration date
08/14/2017
Last updated
12/11/2023
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