Mrs. NICOLE LAVONNE ALTSTADT MSW, CSWA
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1306507629- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MSW, CSWA
- Status
- Active
Contact & Location
- Address
- 4295 SW TEGART LN, GRESHAM, OR, 970808653
- Phone
- (503) 545-9939
Specialties & Taxonomies
Social Worker, Clinical
Primary License: OR #A5691