(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003550179
Provider Name: LAVONNE L KING CSWA/QMHP-C
Entity Type: Individual
Taxonomy Code: 104100000X
Specialty: Social Worker
License Number: A13468
Most Important Dates
Enumeration Date: 04/25/2022
Last Updated: 05/20/2024
Provider Practice Location
620 NE 2ND ST
GRESHAM
OR
970307514
Practice Location Phone/Fax
Phone: 9712743757
Fax: 5039125740
Provider Mailing Location
1776 SW MADISON ST
PORTLAND
OR
972051715
Provider Mailing Phone/Fax
Phone: 5032241044
Fax: 5036212235