Individual
CHARLES J. BURNS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10373 NE HANCOCK ST, SUITE 200, PORTLAND, OR 97220-3873
(503) 247-5586
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4242
OR
1041C0700X
Clinical Social Worker
LW00008568
WA
Other
Enumeration date
10/12/2006
Last updated
12/02/2008
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