Individual
CAZ H NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
620 NE 2ND ST, GRESHAM, OR 97030-7514
(971) 274-3757
(503) 912-5740
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11785
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500812565
—
OR
Enumeration date
09/10/2020
Last updated
07/18/2024
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