Provider Demographics
NPI:1386181220
Name:DARWISH, RAMZY (LCSW)
Entity Type:Individual
Prefix:
First Name:RAMZY
Middle Name:
Last Name:DARWISH
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3435 SE 13TH AVE APT 5
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-2847
Mailing Address - Country:US
Mailing Address - Phone:773-957-8727
Mailing Address - Fax:
Practice Address - Street 1:3435 SE 13TH AVE APT 5
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-2847
Practice Address - Country:US
Practice Address - Phone:773-957-8727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-30
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL124581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORL12458OtherSTATE OF OREGON BOARD OF LICENSED SOCIAL WORKERS