Provider Demographics
NPI:1558863175
Name:DOUD, CHRISTI (CSWA)
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:
Last Name:DOUD
Suffix:
Gender:M
Credentials:CSWA
Other - Prefix:
Other - First Name:CHRIS
Other - Middle Name:
Other - Last Name:DOUD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:736 BRIDGE ST UNIT 10
Mailing Address - Street 2:
Mailing Address - City:VERNONIA
Mailing Address - State:OR
Mailing Address - Zip Code:97064-1285
Mailing Address - Country:US
Mailing Address - Phone:503-383-9643
Mailing Address - Fax:503-214-5545
Practice Address - Street 1:736 BRIDGE ST UNIT 10
Practice Address - Street 2:
Practice Address - City:VERNONIA
Practice Address - State:OR
Practice Address - Zip Code:97064-1285
Practice Address - Country:US
Practice Address - Phone:503-383-9643
Practice Address - Fax:503-214-5545
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-28
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical