Individual
JANELLE NAOMI CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW ICM
Contact information
Practice address
8041 E BURNSIDE ST, PORTLAND, OR 97215-1548
(503) 252-3304
Mailing address
5716 SW HAMILTON ST APT B, PORTLAND, OR 97221-2072
(253) 508-2515
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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