Provider Demographics
NPI:1245332741
Name:HIRNI, TERRY DON (LCSW)
Entity type:Individual
Prefix:MR
First Name:TERRY
Middle Name:DON
Last Name:HIRNI
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2610 SE CLINTON ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-1273
Mailing Address - Country:US
Mailing Address - Phone:503-299-4462
Mailing Address - Fax:
Practice Address - Street 1:2610 SE CLINTON ST
Practice Address - Street 2:SUITE D
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-1273
Practice Address - Country:US
Practice Address - Phone:503-299-4462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL01031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical