Provider Demographics
NPI:1437580982
Name:CHEN, FIONA MIU (LCSW)
Entity Type:Individual
Prefix:
First Name:FIONA
Middle Name:MIU
Last Name:CHEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:FIONA
Other - Middle Name:
Other - Last Name:MIU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9450 SW BARNES RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-6619
Mailing Address - Country:US
Mailing Address - Phone:503-216-2454
Mailing Address - Fax:503-216-5529
Practice Address - Street 1:9450 SW BARNES RD
Practice Address - Street 2:SUITE 200
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225
Practice Address - Country:US
Practice Address - Phone:503-216-2454
Practice Address - Fax:503-216-5529
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-10
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL68171041C0700X
DCLC500796691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical