Provider Demographics
NPI:1528176328
Name:ALDRIDGE (JR.), CLAUDE ALVIN (LMSW#)
Entity type:Individual
Prefix:MR
First Name:CLAUDE
Middle Name:ALVIN
Last Name:ALDRIDGE (JR.)
Suffix:
Gender:M
Credentials:LMSW#
Other - Prefix:MR
Other - First Name:C.
Other - Middle Name:ALVIN
Other - Last Name:ALDRIDGE JR.
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:3710 SW US VETERANS HOSPITAL RD
Mailing Address - Street 2:PO BOX 1044
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-2964
Mailing Address - Country:US
Mailing Address - Phone:503-220-8262
Mailing Address - Fax:360-905-1742
Practice Address - Street 1:3710 SW US VETERANS HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-2964
Practice Address - Country:US
Practice Address - Phone:503-220-8262
Practice Address - Fax:360-905-1742
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMSW 13961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical