| Katie Azarow, Lcsw, Cadc I | |
|
1312 E Burnside St Portland OR 97214-1424 | |
| (402) 253-4713 | |
| Not Available |
| Full Name | Katie Azarow, Lcsw, Cadc I |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1312 E Burnside St, Portland, Oregon |
| Authorized Official Name and Position | Katie Azarow (OWNER) |
| Authorized Official Contact | 4022534713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Azarow, Lcsw, Cadc I 1312 E Burnside St Portland OR 97214-1424 Ph: (402) 253-4713 | Katie Azarow, Lcsw, Cadc I 1312 E Burnside St Portland OR 97214-1424 Ph: (402) 253-4713 |
| NPI Number | 1467998229 |
|---|---|
| Provider Enumeration Date | 01/17/2017 |
| Last Update Date | 01/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467998229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6348 (Oregon) | Primary |
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