Provider Demographics
NPI:1891069274
Name:STEINHAUSER, CYNTHIA S (PHD, LCSW)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:S
Last Name:STEINHAUSER
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11830 KERR PKWY STE 370
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-1228
Mailing Address - Country:US
Mailing Address - Phone:503-293-8300
Mailing Address - Fax:503-293-8388
Practice Address - Street 1:11830 KERR PKWY STE 370
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-1228
Practice Address - Country:US
Practice Address - Phone:503-293-8300
Practice Address - Fax:503-293-8388
Is Sole Proprietor?:No
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL23381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR150663Medicaid
OR1041C0700XOtherTAXONOMY