Provider Demographics
NPI:1760666317
Name:VALDEZ-HENSHAW, MARIA MARGARET (MSW)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:MARGARET
Last Name:VALDEZ-HENSHAW
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4790 N LOMBARD ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97203-4565
Mailing Address - Country:US
Mailing Address - Phone:503-258-4538
Mailing Address - Fax:503-286-3871
Practice Address - Street 1:4790 N LOMBARD ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97203-4565
Practice Address - Country:US
Practice Address - Phone:503-258-4538
Practice Address - Fax:503-286-3871
Is Sole Proprietor?:No
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORA0016071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical