JIM HLAVA

PORTLAND, OR
NPI1093843310
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  1161)
Enumeration Date2007-02-28
Last Update Date2008-04-17
Business Address
-- JIM HLAVA LCSW
3034 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212-3053
Phone number: 503-998-3406
Mailing Address
-- JIM HLAVA LCSW
PO BOX 9275
PORTLAND, OR 97207-9275
Phone number: