Provider Demographics
NPI:1891801320
Name:WEBB, DEL R (MA, LMSW)
Entity type:Individual
Prefix:MR
First Name:DEL
Middle Name:R
Last Name:WEBB
Suffix:
Gender:M
Credentials:MA, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 NE MULTNOMAH ST
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-2135
Mailing Address - Country:US
Mailing Address - Phone:503-734-3120
Mailing Address - Fax:503-734-3170
Practice Address - Street 1:825 NE MULTNOMAH ST
Practice Address - Street 2:SUITE 1400
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-2135
Practice Address - Country:US
Practice Address - Phone:503-734-3120
Practice Address - Fax:503-734-3170
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR101YM0800X
ORM6808104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health