Individual
MR. J WORKMAN-PURVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7334 N CHICAGO AVE, PORTLAND, OR 97203-4869
(503) 928-7491
Mailing address
7334 N CHICAGO AVE, PORTLAND, OR 97203-4869
(503) 201-1614
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5170
OR
Other
Enumeration date
07/18/2011
Last updated
06/05/2020
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