Individual
ANYSSA N HABERKORN-GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7515 FALCON CREST DR # 200, REDMOND, OR 97756-5014
(541) 904-5216
(541) 527-4347
Mailing address
7515 FALCON CREST DR # 200, REDMOND, OR 97756-5014
(541) 316-9442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11288
OR
Other
Enumeration date
08/21/2019
Last updated
05/21/2025
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