Provider Demographics
NPI:1417118068
Name:HAIMAN, DON ERNEST (LCSW)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:ERNEST
Last Name:HAIMAN
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 1:4230 SE KING RD # 104
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97222-5259
Mailing Address - Country:US
Mailing Address - Phone:303-564-0126
Mailing Address - Fax:
Practice Address - Street 1:4230 SE KING RD # 104
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97222-5259
Practice Address - Country:US
Practice Address - Phone:303-564-0126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL76051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical