Individual
CHANPRIT VIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
1312 SW 16TH AVE STE 102, PORTLAND, OR 97201-2620
(207) 316-2609
Mailing address
1312 SW 16TH AVE STE 102, PORTLAND, OR 97201-2620
(207) 316-2609
(888) 810-2993
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
OR
104100000X
Social Worker
Primary
PENDING
OR
1041C0700X
Clinical Social Worker
Primary
A17251
OR
Other
Enumeration date
09/17/2025
Last updated
04/20/2026
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