Individual
CASSANDRA SOUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
421 SW OAK ST STE 520, PORTLAND, OR 97204-1810
(503) 988-5464
(503) 988-5870
Mailing address
421 SW OAK ST STE 520, PORTLAND, OR 97204-1810
(503) 988-5464
(503) 988-5870
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/01/2008
Last updated
10/24/2014
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