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Individual

EVA ROSE SIEGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2105 NE CESAR E CHAVEZ BLVD STE 270, PORTLAND, OR 97212-5434
(503) 836-8836
Mailing address
8966 N KIMBALL AVE, PORTLAND, OR 97203-2614
(541) 324-6240

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
L15950
OR
104100000X
Social Worker
Primary

Other

Enumeration date
02/15/2016
Last updated
03/16/2026
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