Provider Demographics
NPI:1295743623
Name:CASTLEMAN, BJ (MSW, QMHP)
Entity type:Individual
Prefix:
First Name:BJ
Middle Name:
Last Name:CASTLEMAN
Suffix:
Gender:F
Credentials:MSW, QMHP
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:JO
Other - Last Name:CASTLEMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:523 NE SKIDMORE ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97211-3437
Mailing Address - Country:US
Mailing Address - Phone:503-281-9206
Mailing Address - Fax:
Practice Address - Street 1:707 NW EVERETT ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-3517
Practice Address - Country:US
Practice Address - Phone:503-222-4906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered372600000XNursing Service Related ProvidersAdult Companion