Individual
PHU C DAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3550 SE WOODWARD ST, PORTLAND, OR 97202-1552
(503) 517-8663
(503) 943-4994
Mailing address
3550 SE WOODWARD ST, PORTLAND, OR 97202-1552
(503) 517-8663
(503) 943-4994
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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