Carol Lynn Nightengale, LCSW, PC

NPI #1821179938 in Gresham, Oregon

Provider Information

NPI Number
1821179938
Entity Type
Individual
Name
Carol Lynn Nightengale, LCSW, PC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW, PC
Enumeration Date
Oct 17, 2006
Last Updated
Apr 19, 2012

Practice Location

Address
320 N MAIN AVE
Address 2
SUITE 216
State
Oregon
ZIP Code
97030-7242
Phone
(503) 669-1095

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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