Individual
HAILEY ELISABETH CHAMBERLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 SE DIVISION ST, PORTLAND, OR 97202
(503) 517-8663
Mailing address
1904 SE DIVISION ST, PORTLAND, OR 97202-1146
(503) 517-8663
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11160
OR
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/25/2015
Last updated
02/13/2023
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