Individual
MISS CATHY D JENKINS-NAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3710 SW VETERAN'S HOSPITAL RD, PORTLAND, OR 97207
(503) 220-8262
Mailing address
3280 SE MAIN ST, PORTLAND, OR 97214-4257
(503) 235-5612
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2800
OR
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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