Provider Demographics
NPI:1427244953
Name:HAJDU-PAULEN, ALLISON (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:
Last Name:HAJDU-PAULEN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15632 SW 82ND AVE
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97224-7513
Mailing Address - Country:US
Mailing Address - Phone:503-302-6041
Mailing Address - Fax:
Practice Address - Street 1:1340 SW BERTHA BLVD STE 202
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-2172
Practice Address - Country:US
Practice Address - Phone:503-389-6590
Practice Address - Fax:971-277-7693
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL6152101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health