Individual
BETHANY ANNE HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1110 SE ALDER ST STE 301, PORTLAND, OR 97214-2400
(503) 683-2553
Mailing address
PO BOX 22052, MILWAUKIE, OR 97269-2052
(503) 683-2553
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10361
OR
Other
Enumeration date
10/07/2020
Last updated
09/29/2021
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