Evan King LCSW

NPI 1023170164 - Social Worker - 1041C0700X

NPI Details
NPI 1023170164
Gender Female
Enumeration Date 12/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2020 SW 4TH AVE
PORTLAND OR, 97201-4953, US
Phone (971) 235-8079
Business Location
PO BOX 4025
PORTLAND OR, 97208-4025, US
Taxonomy Code 1041C0700X
License State California
License Number LCS9474
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According to our database, Evan King LCSW NPI is 1023170164, taxonomy code is 1041C0700X and license number is LCS9474, license state is located at California. Evan King LCSW physically located at 2020 Sw 4th Ave, Portland OR, 97201-4953. NPI Number Evan King LCSW has the Individual type.

1023170164 NPI number is provided on an as is basis without warranty of any kind. 1023170164 is maintained by the National Plan & Provider Enumeration System. The contents of Evan King LCSW are for informational purposes only.