Search › Oregon › 1041C0700X
Michael Chase, LCSW
NPI 1497891162 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2015 Ne 39th Ave
Portland, OR 97212 - Phone
- (503) 475-3527
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- OR, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-11-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon