| Lizza Chenven Lcsw Llc | |
|
6510 Se Foster Rd Apt F Portland OR 97206-4686 | |
| (971) 207-5623 | |
| Not Available |
| Full Name | Lizza Chenven Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6510 Se Foster Rd Apt F, Portland, Oregon |
| Authorized Official Name and Position | Elizabeth Chenven (OWNER) |
| Authorized Official Contact | 9712075623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lizza Chenven Lcsw Llc 6510 Se Foster Rd Apt F Portland OR 97206-4686 Ph: () - | Lizza Chenven Lcsw Llc 6510 Se Foster Rd Apt F Portland OR 97206-4686 Ph: (971) 207-5623 |
| NPI Number | 1477075141 |
|---|---|
| Provider Enumeration Date | 07/13/2017 |
| Last Update Date | 07/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477075141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L4456 (Oregon) | Primary |
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