Individual
HAVA N AVIV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2640 NW ALEXANDRA AVE, PORTLAND, OR 97210-1289
(503) 731-3960
(503) 239-1252
Mailing address
2640 NW ALEXANDRA AVE, PORTLAND, OR 97210-1289
(503) 731-3960
(503) 239-1252
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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