Individual
MR. LAWRENCE VENASKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1820 SW VERMONT ST, SUITE P, PORTLAND, OR 97219-1945
(503) 284-3847
(801) 340-1155
Mailing address
5825 NE 17TH AVE, UNIT B, PORTLAND, OR 97211-4985
(503) 284-3847
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3591
OR
Other
Enumeration date
06/13/2007
Last updated
08/22/2013
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