Most Relevant Information
Provider Data
| NPI Number: | 1003375551 |
| Provider Name: | REBECCA X CASANOVA LCSW, MPH |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 6780 |
Most Important Dates
| Enumeration Date: | 03/14/2019 |
| Last Updated: | 11/09/2022 |
Provider Practice Location
2700 SE 26TH AVE STE D
PORTLAND
OR
972021288
Practice Location Phone/Fax
| Phone: | 9713789436 |
| Fax: | 9713398511 |
Provider Mailing Location
2700 SE 26TH AVE STE D
PORTLAND
OR
972021288
Provider Mailing Phone/Fax
| Phone: | 9713789436 |
| Fax: | 9713398511 |