Provider Demographics
NPI:1639335565
Name:FOLTIN, MALIA LEHUA (LCSW, CMHS)
Entity Type:Individual
Prefix:MISS
First Name:MALIA
Middle Name:LEHUA
Last Name:FOLTIN
Suffix:
Gender:F
Credentials:LCSW, CMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3605 NE 69TH AVE # 210
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-5126
Mailing Address - Country:US
Mailing Address - Phone:503-310-6845
Mailing Address - Fax:
Practice Address - Street 1:4605 NE FREMONT ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-1707
Practice Address - Country:US
Practice Address - Phone:503-310-6845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-30
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical