Provider Demographics
NPI:1306622535
Name:HUFFMAN, ARWEN LAEL (LCSW)
Entity type:Individual
Prefix:MS
First Name:ARWEN
Middle Name:LAEL
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18811 SW BUTTERNUT ST
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97078-2481
Mailing Address - Country:US
Mailing Address - Phone:971-801-3189
Mailing Address - Fax:
Practice Address - Street 1:18811 SW BUTTERNUT ST
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97078-2481
Practice Address - Country:US
Practice Address - Phone:971-801-3189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-04
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL62691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500829255Medicaid