Individual
CHARLOTTE STONE REDWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2705 E BURNSIDE ST STE 102, PORTLAND, OR 97214-1767
(503) 888-3238
Mailing address
5618 SE 54TH AVE, PORTLAND, OR 97206-5662
(503) 888-3238
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4127
OR
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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