Charles Hughie Smith, CSWA
Social Worker, Clinical in Portland, OR. Individual provider (NPI-1).
NPI number1235699596
StatusActive
Last updated in NPPESMar 22, 2019
Details
- NPI
- 1235699596
- Entity type
- Individual (NPI-1)
- Name
- Charles Hughie Smith
- Credential
- CSWA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 22, 2019
- Last updated
- Mar 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | A5473 | OR | Yes |
Practice location
3311 Ne Mlk Jr Blvd Ste 104Portland, OR 97212-2086
Phone 503-946-3484 · Fax 503-331-2549
Mailing address
14120 Se Parmenter DrPortland, OR 97267-1823
Phone 503-502-2965 · Fax 503-303-4783
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