Most Relevant Information
Provider Data
| NPI Number: | 1003399635 |
| Provider Name: | CATHLEEN NICOLE WENBERG LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | L4582 |
Most Important Dates
| Enumeration Date: | 09/10/2018 |
| Last Updated: | 08/30/2019 |
Provider Practice Location
1839 NE COUCH ST
PORTLAND
OR
97232
Practice Location Phone/Fax
| Phone: | 5032327411 |
| Fax: |
Provider Mailing Location
1839 NE COUCH ST
PORTLAND
OR
972323054
Provider Mailing Phone/Fax
| Phone: | 5032327411 |
| Fax: |